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This is a True Copy of Certificate Originaly Issued N2 NEBRASKA l� . •.. Director of Assistance .... BOARD OF CONTROL DEPARTMENT OF ASSISTANCE AND CHILD WELFARE DECLARATION OF OWNERSHIP OF REAL ESTATE ................... ,Al." ...... ............. -................................ City or Village Hall County M Old Age Assistance ❑ Blind Assistance .......... -..... --------------- ------ ---------Nov fib er --------- ----------- 19...3-9-..- Hall 9.._ g-203 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 9 of 0ounty Subdivision of ENJ and Nj of N* of Section 5, Township 10,Range 10aAlda 2.. Legal description of all real estate not used by me as place of my residence: Part of 8* of NW1 of Section 5,Township lO,Range lO,Alda (1.25 A) . Lot 3,Hlock 12pGollege Addition to ;.Hest Lawn,Grand Island. K Pursuant to the Enactment of L. B. 89, by the 66th Session of the Legislature of the State of Nebraska and approved May 12, 1941, authorizing the Register of Deeds to release the Old Age Assistance liens of record, by rete se the ln this ie Z (/I/J2� ...., 1941. �........... . ...... day of ....... ..... Register of Deeds Mur i el Antho .............. .... ...........................................----- ---------- ... Witness Hal have investigated the...................................1. to be correct to the best of my knowledge. To: State Assistance Director, 1008 State Capitol, Lincoln, Nebraska Signed..... _.................. --_Oliver E.Gil.................................. ... Applicant for Assistance VERIFICATION County records and hereby certify the above description(s) ---------------- --............... Muriel_ --- Anthony...................................... ------......------ County Visitor ................ ....... -----..-..-._....-------County ------------------------D-okQ-•--6--------------------------19-39 Received for record Certificate of Award for Application No ........... 203.------------------------- (Old Age Assistance), (Blind Assist- ance) at.........1.... .................... o'clock and ..-.-..-- ............. ..minutes .....P..M. in compliance with Sec. 68-258 Comp. St. Supp., 1937 as amended by L. B. 389, 53rd Session Nebraska Legislature, or 68-413 Com. St. Supp., 1939. HOOk 1 Page 49Signed .............. _................. Register of Deeds.