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This is a True Copy of <br />Certificate Originaly Issued <br />NEBRASKA l� N <br />-0 <br />Director of Assistance BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />...............-Grand.... Island- ......._.._..... •... ---------- <br />City or Village <br />................................ _Hall. ................ -...... -- .............--- <br />County <br />45 <br />gn Old Age Assistance <br />❑ Blind Assistance <br />------------- --_Hovemb er -23 .......................... ........ <br />------------------------------- o- o� <br />---------- - --------------- -............ -- .............. <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 24,Sunnyside Subdivision. <br />2. Legal description of all real estate not used by me as place of my residence: <br />Lots 20,21,22,$ 23,Sunnyside Subdivision. <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 />eeds to release the Old Age Assistance liens of record, I h�teby release the withi�t—lign this <br />1941, authorizing the Register of D <br />1941. <br />................. <br />%!....day of........ ;,C� Register of Deeds <br />----------------.......... -----_IiiLTi Ql...._A- nthony.. ---------------------------------------Signed Thomas Ro ss <br />- ...__ <br />-------- <br />Witness Applicant for Assistance <br />VERIFICATION <br />have investigated the....................................Hall -- ..............County records and hereby certify the above description(s) <br />-------------------------------- <br />to be correct to the best of my knowledge. <br />Muriel Anthony <br />------------------------------------------------..--------------............-- .......................................................---. _.... <br />County Visitor <br />To: State Assistance Director, _......... - ................ . ..... Hall ........... .... .............. County <br />1008 State Capitol, <br />Lincoln, Nebraska------------be-Q- 6--.---------------------19- <br />---------- <br />Receive for for record Certificate of Award for Application No ------------- $_�.©.•_____.._____.___ (Old Age Assistance), (Blind Assist - <br />1 .............o'clock and...._...........__....._..minutes Y.M....in compliance with Sec. 68-258 Com St. Su 1937 as amended <br />Assist- <br />ance) at.....--•---•---------- P P• PP•, <br />by L. B. 389, 53rd Session Nebraska Legislature, or 68-413 Com. St. Supp., 1939. <br />Book 1 Page 45 Signed ........... .................... ---------- <br />Register of Deeds <br />