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This is a True Copy of <br />Certificate Originaly Issued 1�l� O 30 NEBRASKA <br />""""""""""""Dfrector'of'Assistance........................BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />[X Old Age Assistance <br />❑ Blind Assistance <br />Grand Island <br />....................................................... <br />City or Village <br />Hall <br />County <br />-November...1_7------------------------------------ ------- -_----- 19 ..... 3-9._ <br />1..2 ....................... <br />Application Number <br />In compliance with State Assistance Statutes in Section 68 Comp. St. Supp. 1937, 1 hereby declare the following described <br />real estate as all of the real estate owned in whole or in part by myself and/or my spouse. <br />1. Legal description of real estate used by me as place of my residence: <br />Lot 7, Block 141, UPRR 2nd Addition <br />2. Legal description of all real estate not used by me as place of my residence: <br />12, <br />,p <br />Pursuant to the Enactment of L. B. 89, by the 55th Session of the Legislature of the State of Nebraska and approved May <br />1941, authorizing the Register of Deeds to release the Old Age Assistance liens of record, T releapse the 'wit len this <br />1941. v <br />_ .. �.. day of ..... ...<J�l!�?rL Register of Deeds <br />-............Muriel Arithouy. Signed ('lora._E.,.Filddle�oll........... -----..... ------------ ................. <br />Witness Applicant for Assistance <br />VERIFICATION <br />have investigated the .................. <br />................ <br />........... <br />Hall .................................. County records and hereby certify the above description(s) <br />to be correct to the best of my knowledge. <br />----------....................-Murle_l-AnUmny-- ...--------- -......... <br />..- - - <br />County A"istewee-DirKtw-w Visitor <br />To: State Assistance Director,.......... ---------------------.-- ------Ha-----1 l...---------------------- <br />1008 State Capitol, <br />Lincoln, Nebraska ------- --- -------- N©v-.----24'---- --------- 1939 - <br />Received for record Certificate of Award for Application No .-312____________________ ______ (Old Age Assistance), (Blind Assist- <br />ance) at .................. and........3 .........minutes _A.. -M. in compliance with Sec. 68-258 Comp. St. Supp., 1937 as amended <br />by L. B. 389, 53rd Session Nebraska Legislature, or 68-413 Com. St. Supp., 1939. <br />Book 1 Page 30 Signed ..............._........ -/�'` `---------- <br />Register of Deeds <br />