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This is a True Copy of <br />Certificate Driginaly Issued <br />NEBRASKA NO <br />Director of Assistance BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />.......................t rrana.....elsna..................... <br />City or Village <br />x411 <br />County <br />November 24 <br />42 <br />W Old Age Assistance <br />❑ Blind Assistance <br />19......4_ <br />---------------------------- 9'�3................................................... -----------------------. <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 4,Blo ok 17, Arnold and Abbott 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, eby release the lien this <br />...day of......... . Lih?�..., 1941. <br />Register of Deeds <br />............ -- ........._..-.Mariel..Anthon - - - Signed - ...Emily -W Denison-rifffn. - --- <br />Witness Applicant for Assistance <br />VERIFICATION Y/J <br />have investigated the ............. -.................... �1.......................................... County records and hereby certify the above description(s) <br />to be correct to the best of my knowledge. <br />MurielAnthony <br />_----------------------------. - . - <br />------ . <br />County <br />Visitor <br />To: State Assistance Director, _H81.1 County <br />1008 State Capitol, <br />Lincoln, Nebraska D -fir.- ----- 6 --------- ----- <br />Received for record Certificate of Award for Application No ............... S!!23.......................... (Old Age Assistance), (Blind Assist- <br />ance) at ................ ; .................o'clock and ................. ......... minutes .....FsM. 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 42 (` JI�� <br />Sinned----------------------------------- ----- - --- --- - - ------------------ --------------------------- - - - <br />------- <br />Register of Deeds <br />