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This is a True Copy of Certificate Originaly Issued NEBRASKA 1�I �T O 59 Director of Assistance BOARD OF CONTROL DEPARTMENT OF ASSISTANCE AND CHILD WELFARE DECLARATION OF OWNERSHIP OF REAL ESTATE [N Old Age Assistance ❑ Blind Assistance Grand Island --.....--- ....-----De c emb e -r----1 ---------------19----39 .._ City or Village Hall 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: 2. Legal description of all real estate not used by me as place of my residence: Lot 7, Block 2, Wasmer Addition 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 relea/sJe the yrithen this v `�i.. day of ......% 1941. Register of Deeds ................................... Mar..iori.... RAthhun.--.--- .------------ ------------------- ---------- Signed ..... ----John-...FIe_tcher-- .................... ..................... Witness Applicant for Assistance have investigated the .......... -Hall 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 srssistatirDirector or Visitor H -all - - ---------- --------- .....County ------------------- D e c-.- - 14 ------------- 19 39 Received for record Certificate of Award for Application No. --_.8.-432------...__,.._._.--._. (Old Age Assistance), (Blind Assist- ance) at..........10....................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. 011_��_ Hook1 Page 59 Signed.----._.....-----•-•-•-----......� ............- - Register of Deeds M.ua.firW p. erWf rf4.0. .Yf.