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7/8/2017 6:44:54 PM
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7/3/2017 5:44:50 PM
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This is a True Copy of <br />Certificate Originaly Issued N° <br />NEBRASKA l� <br />....................... Director of Assistance........................ BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />50 <br />DECLARATION OF OWNERSHIP OF REAL. ESTATE <br />:K] Old Age Assistance <br />❑ Blind Assistance <br />Alda <br />-------------------------------- ------------------------ <br />City or Village <br />Hall <br />.......... --------------------------------------------- <br />County <br />--------------December 7' - - .............. I9.. . <br />--8-5-15.......... <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 1, Block 12, Clarkson's 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. & 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, I release the ,,wiien t <br />his <br />... day of Com....., 1941. " z? �............. . <br />... Register of Deeds <br />Muriel Anthony <br />_... <br />........................................... <br />Witness <br />have investigated the ----------------------------- <br />to be correct to the best of my knowledge. <br />E. V. Bush <br />.................... -------- .--------- --------......--------------------------- ------------...------..... <br />Applicant for Assistance <br />Husband of Patience G.Bush <br />VERIFICATION <br />County records and hereby certify the above description(s) <br />Muriel Anthony <br />-----------------------------------------------------_......... ............................... _.. ---..........................----------------....-- --- <br />County Assis1ance-9ireeter%ri/isitor <br />To: State Assistance Director,_H$ll.......................... .......... -............. county <br />1008 State Capitol, <br />Lincoln, Nebraska ----------- -DeC • --1.4.1-----------------------------19-3-9 <br />Received for record Certificate of Award for Application No ------- _-51-5 ---------- ------- ------------- (Old Age Assistance), (Blind Assist- <br />ance) at....... -.-1p ............... o'clock and ..... -"'.............minutes-.-A-tM. in compliance with Sec. 68-258 Comp. St. Supp., 1937 as amended <br />by L. B. 389, 53rd Session Nebraska Legislature, or 68413 Com. St. Supp., 1939. <br />Book 1, Page 50 <br />.w wuwrw a. wws �.wa ww. <br />Signed------------------------------------. -!__ ------------------- <br />Register of Deeds <br />
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