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This is a True Copy of Certificate Originaly Issued NO 57 NEBRASKA l� Director of Assistance BOARD OF CONTROL DEPARTMENT OF ASSISTANCE AND CHILD WELFARE -DECLARATION OF OWNERSHIP OF REAL ESTATE COld Age Assistance ❑ Blind Assistance .Grand Island December 1 ------ ----------- --------------------------.... _.... --------. ---- - - - - - - 19 39 - City or Village Hall County B-96 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: West 93 feet of E* of Block 16, Windolph Addition. 2. Legal description of all real estate not used by me as place of my residence: Pursuant to the Enactment of L: B. 89, by the 55th Session of the Legislature of the State of Nebraska and approved May 12, 1941, authorizing the Register of Deeds to release the Old -Age Assistance liens of record, I her releasethewithin this . %c C. y %' .. day of ........ . , 1941. Register of Deeds Muriel Anthony, Emma Stange .--....................... -............... .---._....-------------------------------_.------.._............ Signed ..... -------..... --- - Witness Applicant for Assistance VERIFICATION have investigated the ...._......_Hall --- ----------------------- -----County records and hereby certify the above description(s) to be correct to the best of my knowledge. ........................... .................Muriel Anthony---------------.....----............................. County Assistance -W eetor or Visitor Hall County To: State Assistance Director, _ ...... .......... _.................................. _.... _.......... 1008 State Capitol, Lincoln, Nebraska-----------------------_-------------DeC------- 1'-----19-3-9 Received for record Certificate of Award for Application No. -_--_8--_6--..--_..-_-. ........ _.__ (Old Age Assistance), (Blind Assist- ance) at. ............... 1 0 ......... -..o'clock and ..... ."...- .............minutes .........*M. 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. Signed ................... .1;�. - Book 1 Page 57 Register of Deeds .w wcun�.. w. are i.ur. ere.