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This is a True Copy of <br />Certificate Originaly Issued N° <br />NEBRASKA 1� 6 <br />Director.of.Assistance BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />Q Old Age Assistance <br />❑ Blind Assistance <br />----------Grand I-e-1and.......--- -- ------------. -December.... zx......_......................_._._.....19.3.9..._ . <br />City or Village <br />Hall <br />County <br />-9-9 <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 />West 83 feet of E� of Block 16, Windolph Addition. <br />2. Legal description of all real estate not used 6y 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 h 'release the withjr� lien this <br />�i...day of ii!f/!?.L...., 1941. ............f't a(.��././dJ........ <br />Register of Deeds <br />-Muriel Anthony _......_..__._.... <br />henry Stange <br />Signed - <br />Witness Applicant for Assistance <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 Assistarree-Direetor or Visitor <br />To: State Assistance Director, Hall .__County <br />1008 State Capitol, <br />Lincoln, Nebraska_ -------- _.__Dec. --_I <br />- ------------------------- ig-39 <br />-- <br />Received for record Certificate of Award for Application No. -.-.-...8--9 <br />.------------------------------- - (Old Age Assistance), (Blind Assist- <br />ance) at ............ 1 .......... o'clock and ..... .-.--------------- minutes ---- <br />.'.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 />Book 1 Page 56, Signed-------------------------- "- <br />------------- ----..... ............. ........ ...... <br />Register of Deeds <br />