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This is a True Copy of <br />Certificate Originaly Issued <br />NEBRASKA NO 64 <br />""""""""""""Director'of'Assistance. ""' BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />[N Old Age Assistance <br />❑ Blind Assistance <br />Grand....I sI and. <br />City or Village <br />Hall <br />County <br />December ... �........ ............................ 19.. S - <br />--.7.$....g...... <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 gowned 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 />Lots 2 & 3, Block 28, Russell Wheeler Addition <br />2. Legal description of all real estate not used by 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�ergby release the yath lien this <br />(`/C/J DyQ? el..U..�e <br />1!.,.. day of...... �i1/%!......, 1941. Graf <br />Register of Deeds <br />Muriel Anthony <br />--------------------- - ................-- <br />Witness <br />Sig <br />VERIFICATION <br />Elma Kent Tilley <br />.............-------- . ------ .---------------..._.....------. <br />Applicant for Assistance <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 />To: State Assistance Director, <br />1008 State Capitol, <br />Lincoln, Nebraska <br />Muriel Anthony <br />----------------------------------------------------- ------ -------------- - -------- ------- ................. ---- <br />County Aseisleme-Bipeelor or Visitor <br />.. &1 -z --------------------------------------County <br />--------------- De -C-• -14-------------------------19 --3-9 <br />Received for record Certificate of Award for Application No..._....�..-7g� (Old Age Assistance), (Blind Assist- <br />ance) at ..... -....._10.................o'clock and ...........-.._........minutes -... A. -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 />Signed - ------------- �.---------- - <br />Book 1 Page 64 Register of Deeds - <br />