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This is a True Copy of <br />Certificate Originaly Issued <br />NEBRASKA NO 41 <br />Director -of Assistance ........................ <br />-..•.••..•--. BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />® Old Age Assistance <br />❑ Blind Assistance <br />Qr-and-•--I_ l and..-.. <br />........... ............... --November .... 9. -- 32 -- <br />City or Village d�t <br />..------------.----- ----------....._-1-----------------------.--------.._.-........ ..---------. --------------..--._073R ........................ -...................... <br />County 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 />Lots g,9,& 14;Blook 1;Park Place. <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 eby release the lien this <br />Z .. day of........ !/l/YLL ...., 1941. ............... . <br />Register of Deed <br />-............................. ............. ....Mair-x.-81--Anthmy-- .............. ------ Signed------------------ .JU11Uj3 .Hansen - <br />-................................... <br />Witness Applicant for Assistance <br />VERIFICATION <br />have investigated the ........... ------------------------ 817.-.-.-....................... - ............... 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 />-------------------------Mori el -.-_Anthony..-...-..... - - <br />-- -- ... <br />County Visitor <br />Hall ............ County <br />D 0C3 - 6--------------------------19 <br />Received for record Certificate of Award for Ap h tion No...-...-.._- ----------- i�+32.._.........-._ (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 41 Signed ................................... -..... q- ........- . ------------- <br />Register of Deeds <br />