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This is a True Copy of Certificate Originaly Issued NEBRASKA lr 0 58 ................................... .of.Assis.tan........................... BOARD OF CONTROL Director of Assistance DEPARTMENT OF ASSISTANCE AND CHILD WELFARE DECLARATION OF OWNERSHIP OF REAL ESTATE [* Old Age Assistance ❑ Blind Assistance Grand Island November 27 19J'9._._ -----------------............................ .................. ...---------..........................................- -------------------------....------....----..... City or Village Hall County 97-1 -.5.4 --- -------------- 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: 2. Legal description of all real estate not used by me as place of my residence: Lot 3, Block 15, Packer and Barr's Addition. Lots 1, 2, 3, 4, 5, 61 7 & 9; Block 3; East Park Addition. of the State of Nebraska and approved May 12, Pursuant to the Enactment of L. B. S9, by the 55th Session of the Legislaturerelease th hm lien this Register of Deeds. to release .the Old Age Assistance liens of record�ereb/� / 1941, authorizing the Regi �j!.. day of (illLt-L 1941. Register of Deeds Muriel Anthony-.. Signed----------------------------------------------------Smel E.Wiseman --------------------------------------------------•----------------........... Witness Applicant for Assistance Husband of Anna L.Wiseman VERIFICATION I 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 Director or Visitor To: State Assistance Director, ............ ......._Hall ......................... ........... County 1008 State Capitol, Lincoln, Nebraska---..-----_-----De------z---- j 19__._3 -9 ----- Received for record Certificate of Award for Application No...._8._�_-I.5------------------------------- (Old Age Assistance), (Blind Assist- ance) at ........... .... 2_9 .... _........ o'clock and...... ---------- .minutes ._A% -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. - - - . -c .. `...`.�.. Book 1, Page 58 Register of Deeds