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This is a True Copy of <br />Certificate Originaly Issued <br />NEBRASKA N p 32 <br />...................... Director of Assistance........................ BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />E*. Old Age Assistance <br />❑ Blind Assistance <br />C#rand- s.1and.............. <br />City or Village <br />Hall <br />..... -........................................ <br />County <br />..... ............ ----November.-Z------------------------------------------------ig.39...._.- <br />5-411 <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, Black 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 approv4W May I2, <br />1941, authorizing the Register of Deeds to release the Old Age Assistance liens of record, I release the wit'" en this <br />... day of ........ .//1!4 46 .... , 1941. <br />Register of Deed <br />_Muriel- Anthony................................... ....__..............-......... Signed--------------- -Minnie Schlichting-------------- <br />------------ <br />Witness Applicant for Assistance <br />have investigated the..........Hall <br />......................... <br />------ - - <br />to be correct to the best of my knowledge. <br />To: State Assistance Director, <br />1008 State Capitol, <br />Lincoln, Nebraska <br />VERIFICATION <br />records and hereby certify the above description(s) <br />..................... ------------.......... ------fur1eI----A.n_thonx - - _._.. <br />County As9M RrMfT[tarer Visitor <br />........... Hal.1.-...................... -........... ---.............. County <br />----------- NoQ+-.24--------------------19--.39--- <br />Received for record Certificate of Award for Application No..-.-_g--4'z-__._..-_..___.__.-. (Old Age Assistance), (Blind Assist- <br />ance) at._.._...._ .............._._.......o'clock and ......30 ------------ minutes .....X.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 />Hook I Page 32 Signed.-----.._---------------------... -v".rr ��.`' .- - <br />Register of Deeds <br />