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This is a True Copy of <br />Certificate Originaly Issued <br />NEBRASKA N2 51 <br />Director of Assistance BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />[* Old Age Assistance <br />❑ Blind Assistance <br />AldaDecember...- '-......... -.... -.... -.......... ..... 195 9 - - <br />City or Village <br />Hal_1........ - _.. _..... �-'1 <br />.----------- -------------------._...._.......... <br />County 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. B. 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 reby release the yvith lien this <br />.. day of ......f/(!`Le...... , 1941.E U� <br />................ <br />Register of Deeds <br />_Muriel -Anthony ---------------------------------- ------ ------------ -- ----- <br />Si <br />Witness <br />VERIFICATION <br />Patience G.Bush <br />--- . ---- -------------- ------------------ ----- <br />Applicant for Assistance <br />1 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 />County Assistance Virecwror Visitor <br />To: State Assistance Director, _Hall- County <br />-- -- --------------------------............. <br />1008 State Capitol, <br />Lincoln, Nebraska ---Dec..,-- 14.... -----------19 39 <br />Nebraska-------------- ----- <br />Received for record Certificate of Award for Application No ----------- .-1.92._...._...-___------ (Old Age Assistance), (Blind Assist- <br />ance) at --------- ................o'clock and ..... _.................... minutes....._A-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 />��� <br />Signed--------------------- ----- .--------------------------. - ------------ <br />Book 1 Page 51 Register .....-.... Deeds <br />Register of Deeds <br />