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This is a True Copy of Certificate Originaly Issued NEBRASKA lel �T O 67 ......................... Directo.r.oi assistance .. BOARD OF CONTROL DEPARTMENT OF ASSISTANCE AND CHILD WELFARE DECLARATION OF OWNERSHIP OF REAL ESTATE & Old Age Assistance ❑ Blind Assistance Cairo -----------------------Dec a mbe r --5-------------------..-........ - 19 _39._ City or Village Hall 9-62 - - -----------------------------------------------------------------................................. ....................... ----------------------- - -- --------------------------- ..-..................... .................. _...-- .. 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: Lot 4, Block 4, 3rd Addition to Cairo. 2. Legal description of all real estate not used by me as place of my residence: Lot 456, Block 2, 3rd Addition to Cairo 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 recV hereby releaseithin lien this .� . . day of ..... V- 1941. Register of Deeds - ..Xuriel An:rhony._...------------------------------------------ _.................._..._.... Signed ---------Richard -0. Dyer- - ------------ --- .......... _........... Witness Applicant for Assistance VERIFICATION all have investigated the .............................H- ....................... County records and hereby certify the above description(s) -- ------------------- to be correct to the best of my knowledge. Muriel Anthony _-------------------- ------------------ ---- ............................. .----------............. --- -- -- ..._.------------............ County -Assistance Oireetor or Visitor To: State Assistance Director, .................. Hall --------------_,-_-------_- County 1008 State Capitol, Dec.14 �Lincoln, Nebraska _..-_-- ___19-39._---- ReceivedfOor record Certificate of Award for Apil ation No.__$` -621_____._._ ___ _ (Old Age Assistance), (Blind Assist - 1 - - ance)at...._....._....._....._._......o'clock and....... -.' .............minutes ..._.'M. in compliance with Sec. 68-258 Comp. $t. Supp., 1937 as amended by L. B. 389, 53rd Session Nebraska Legislature, or 68-413 Com. St. Supp., 1939. Signed ........... �.Book 1 Page 67 �A�-- ---- ---------- gDeeds 1M Wo.t.�Y[O!. MW HWo. .BII,