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This is a True Copy of <br />Certificate Originaly Issued N2 <br />NEBRASKA • <br />Director of.Assistance BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />. .......................... -Gr s .. Island ----.............---------•- <br />City or Village <br />............................... X11..------ -----.................. <br />County <br />36 <br />IN Old Age Assistance <br />❑ Blind Assistance <br />November - - 24 - 19. 39._.... <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 />4 S*ji Section 35,Townehip 12,Range 10. <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 hgraky release the wjthiq lien this <br />...... 1941. ................. <br /><G........ .... <br />Y .. day of ....... f/1!f Register of Deeds <br />................. ...................... Murf®1.Antho.m------..... ............ Signed--------------.uDe an <br />.............. <br />------------- <br />Witness Applicant for Assistance <br />VERIFICATION <br />have investigated the .......... ......................_Hall .._.._..............._......_..............County records and hereby certify the above description(s) <br />to be correct to the best of my knowledge. <br />.............. ......................... Murie.1 Anthony --------------- ...._........ --_._ <br />County Visitor <br />To: State Assistance Director,iez_1....._.. _.......-.-.County <br />..................................... <br />1008 State Capitol, <br />Lincoln, Nebraska - DeC.-,----6------ -------------------19-----39---- <br />Received for record Certificate of Award for Application No ------------------- _9441 <br />- (Old Age Assistance), (Blind Assist- <br />ance) at ---------- _..._.............. ..o'clock and ........................... minutes ._.p.!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 36 <br />Signed.................- ..... - .................... _............-`�_........... <br />Register of Deeds <br />MN w.n�M W. MFC �C4M. MN. <br />