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This is a True Copy of Certificate Originaly Issued NEBRASKA l� N -0 Director of Assistance BOARD OF CONTROL DEPARTMENT OF ASSISTANCE AND CHILD WELFARE DECLARATION OF OWNERSHIP OF REAL ESTATE ...............-Grand.... Island- ......._.._..... •... ---------- City or Village ................................ _Hall. ................ -...... -- .............--- County 45 gn Old Age Assistance ❑ Blind Assistance ------------- --_Hovemb er -23 .......................... ........ ------------------------------- o- o� ---------- - --------------- -............ -- .............. .._.... Application Number In compliance with State Assistance Statutes in Section 68 Comp. St. Supp. 1937, 1 hereby declare the following described real estate as all of the real estate owned in whole or in part by myself and/or my spouse. 1. Legal description of real estate used by me as place of my residence: Lot 24,Sunnyside Subdivision. 2. Legal description of all real estate not used by me as place of my residence: Lots 20,21,22,$ 23,Sunnyside Subdivision. Pursuant to the Enactment of L. B. 89, by the 55th Session of the Legislature of the State of Nebraska and approved May 12, eeds to release the Old Age Assistance liens of record, I h�teby release the withi�t—lign this 1941, authorizing the Register of D 1941. ................. %!....day of........ ;,C� Register of Deeds ----------------.......... -----_IiiLTi Ql...._A- nthony.. ---------------------------------------Signed Thomas Ro ss - ...__ -------- Witness Applicant for Assistance VERIFICATION have investigated the....................................Hall -- ..............County records and hereby certify the above description(s) -------------------------------- to be correct to the best of my knowledge. Muriel Anthony ------------------------------------------------..--------------............-- .......................................................---. _.... County Visitor To: State Assistance Director, _......... - ................ . ..... Hall ........... .... .............. County 1008 State Capitol, Lincoln, Nebraska------------be-Q- 6--.---------------------19- ---------- Receive for for record Certificate of Award for Application No ------------- $_�.©.•_____.._____.___ (Old Age Assistance), (Blind Assist - 1 .............o'clock and...._...........__....._..minutes Y.M....in compliance with Sec. 68-258 Com St. Su 1937 as amended Assist- ance) at.....--•---•---------- P P• PP•, by L. B. 389, 53rd Session Nebraska Legislature, or 68-413 Com. St. Supp., 1939. Book 1 Page 45 Signed ........... .................... ---------- Register of Deeds