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This is a True Copy of Certificate Originaly Issued N- 52 NEBRASKA l�......................... ------ Director --------- of ---- ....Assist - anncece........................ BOARD OF CONTROL DEPARTMENT OF ASSISTANCE AND CHILD WELFARE DECLARATION OF OWNERSHIP OF REAL ESTATE L2Q Old Age Assistance ❑ Blind Assistance -ood River--------- ---------------------------------- ------------ _December 7 -------------------------------- 19....39---- .... City or Village Hall 8-802 -- --- ---- ---------------------------------------------.......... -- .......... --------------------...---------...............--------------------------------------........................................ ----........... County 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 7, Block 7, Dodd & Marshall Addition 2. Legal description of all real estate not used by me as place of my residence: 12, Pursuant to the Enactment oof .Bd89ohrelease 55thSession OldoAge Assistathe nceliensof recordature of the , of Nebraska asendthe Pwithed Mn his 1941, authorizing the Register 1941. .. . �... day of ........ Register of Deeds --------------- -Muriel_._Anthony-------------------------------- ---------. Signed---------......------ ....._John--_M..Ddoore---- _............ Witness Applicant for Assistance have investigated theHall .............................- to be correct to the best of my knowledge. To: State Assistance Director, 1008 State Capitol, Lincoln, Nebraska VERIFICATION County records and hereby certify the above description(s) Muriel Anthony ........................ -.......... -............ ------................ - ...............----------------------------- ............... ..... -........... County Assistance ffireetorer Visitor ......................... Hall ....... - .... _.....County - -------- -- Dec . 1 �+, 19 39 - Received for record Certificate of Award for Application No._9.'802._----- -------------------- .. (Old Age Assistance), (Blind Assist- ance) at... ---.-..-..-..-I.0 ........... o'clock and...........................minutes ...._A-aM. 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. Book 1 Page 52 Signed ........... ... . ..... Register of Deeds ma aunvans ao. aan Tawe. ra.