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v <br />i <br />This is a True Copy of <br />Certificate Originaly Issued N2 <br />NEBRASKA 1� <br />Director of Assistance BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />..... ...................... 0XISM....ze .I�a..--------.---............. <br />City or Village <br />Hall <br />County <br />® Old Age Assistance <br />❑ Blind Assistance <br />................................... limb ..._2 ---------- ---- -_- ---- _..... 19...3a <br />gsl4 <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 i sZottage 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 />h� / release the with' /d this <br />�!.. day of ..... g.. ,�_ 1941. (�/Cb .... Register of Deed . <br />1941, authorizing the Register of Deeds to release the Old Age Assistance liens of record, I s <br />Muriel Anthony. --- signed - ................. Mr-�-__E...1i.._Donnell.Y. -................ <br />................................................................... <br />Witness Applicant for Assistance <br />guardian for Mrs.Pollp BprOU <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 />-- MuMuriel Anthony <br />riel. - --------- -----------------------..........._....----------- <br />County Visitor <br />To: State Assistance Director, Ball .County <br />1008 State Capitol, <br />Lincoln, Nebraska ------------------- ----- ttC--6--------- ----- <br />Received for record Certificate of Award for Application No..................$447. (Old Age Assistance), (Blind Assist- <br />ance) at......1..........................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 48 <br />Signed - ... - .............. .............. <br />- - <br />Register of Deeds <br />