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This is a True Copy of <br />Certificate Originaly Issued N- 71 <br />• NEBRASKA <br />Director of Assistance BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />® Old Age Assistance <br />❑ Blind Assistance <br />............................. Cai.ro............................................... - - .......... <br />City or Village <br />................................. a.i------------------------........----------....._.. <br />County <br />Devember .5......__..-. _-----19._-9..._ <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 owned 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 />North 13.6 feet of Lot 10 & all of Lot ll,Blook 2,5th Addition to Cairo. <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 rele�it M en this <br />2 ...day of.......�i(it!XL �i ...., 1941. <br />Register of Deeds <br />- - _­ -............ Mur i. el-Ant►hOA�►--............................ Signed ..................... Cormi Ck------------------ - -- <br />Witness Applicant for Assistance <br />VERIFICATION <br />have investigated the ............. .............. .-..-.._x$11..-. <br />----------- ........................... County records and hereby certify the above description(s) <br />to be correct to the best of my knowledge. <br />-------------Muriel----Anthony......................................... -........... <br />County or Visitor <br />To: State Assistance Director, ............ .......................... 481]. ............... _........... County <br />1008 State Capitol, <br />Lincoln, Nebraska .------------------�@C.-a.4-----------------19 39 <br />Received for record Certificate of Award for Application No.--_-... __S-5_8- --- ------ --- --.-.- (Old Age Assistance), (Blind Assist- <br />} .........---.o'clock and .... ..... . ............minutes ..A.&..M. in compliance with Sec. 68-258 Comp. St. Supp., 1937 as amended <br />Assist- <br />ance) at...............1Q. <br />by L. B. 389, 53rd Session Nebraska Legislature, or 68-413 Com. St. Supp., 1939. �f <br />Book 1 Page 71 signed......(. <br />Register of Deeds <br />