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This is a True Copy of <br />Certificate Driginaly Issued N° 31 <br />NEBRASKA <br />....................... <br />irector of Assistance BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />:K] Old Age Assistance <br />❑ Blind Assistance <br />a <br />Grand Island <br />-----------._.................... ... .................... <br />City or Village <br />Hall <br />County <br />-----......................................... .7.r----._---------------------------------.....------19 . �._ <br />9-410 <br />............................................. <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 1, Block 10, Wheeler Addition. <br />2. Legal description of all real estate not used by me as place of my residence: <br />Pursuant to the Enactment of L. B. 89, by the 55th Session of the Legislature of the State of Nebraska and approved May 12, <br />1941, authorizing the Register of Deeds to release the Old Age Assistance liens of record, I helease the withi this <br />_k.. day of..... �liYLu......, 1941. <br />Register of Deed's <br />Muriel Anthony <br />Witness <br />VERIFICATION <br />Wilhelm Schlichting <br />_------------------ ----------------------------------------------------_.. <br />Applicant for Assistance <br />have investigated the ... -------------------- ...........H81I---....._---. ---- ........_...............County records and hereby certify the above description(s) <br />to be correct to the best of my knowledge. <br />To: State Assistance Director, <br />1008 State Capitol, <br />Lincoln, Nebraska <br />---------------------------- .-.-M.ur el-.._An_thony--.---------------...._..-------- -- <br />County-Assistinim-Oliveto-er Visitor <br />Hall ........... County <br />----------------1oY •-- .2.4 -- - - - - 19.x. <br />Received for record Certificate of Award for Application No.-..8...-�1©-- (Old Age Assistance), (Blind Assist- <br />ance) at...._....__..._..............o'clock and...... 3.9... .......... minutes -...........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 31 <br />Signed ..C' ...................... ' ........ - - - .. <br />Register of Deeds <br />