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This is a True Copy of <br />Certificate Originaly issued �? <br />NEBRASKA lr O 53 <br />Director of Assistance BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />Xj Old Age Assistance <br />❑ Blind Assistance <br />Wood River <br />......... -......... -........................ <br />City or Village <br />County <br />---------------------------December- Zi�.............................. --........ 19--.�--.... <br />8-178 <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 5, Block G, McCall & Leflang 2nd Addition to Wood River. <br />•.�1 /ItW Ua.tt �� <br />Lot 4, Block G, McCall & Leflang 2nd Addition to Wood River, <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, reby release the prtkh lien this <br />... , 1941. UI <br />�'.. day of .... �-(�'L. gagster of Deeds <br />Muriel Anthony-----------------------------------------._._._-----.----- Signed ............... -Mortensen <br />---------------- -- ------ <br />Witness Applicant for Assistance <br />Husband of Mary E.Mortensen <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 />Muriel Anthony <br />------------------------------------------------------- ----................ --- ............................................ -... -... ....... <br />County Assistance DirectaTar Visitor <br />To: State Assistance Director,........... --- ------ -------............ --- - ----------------__.----- <br />. <br />1008 State Capitol, <br />Lincoln, Nebraska Dec. 14 <br />Received for record Certificate of Award for Application No ------------ $__I_-1.78------------------------- (Old Age Assistance), (Blind Assist- <br />ance) at.---- 0 -------- - ..............o'clock and ............... ............minutes 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.�j <br />Book1 Page Signed ........................ ..................................................... <br />Register of Deeds <br />