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This is a True Copy of <br />Certificate Originaly Issued NT <br />NEBRASKA lr O <br />Director.of Assistance BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />-----------------------------------Dr.;jk,nd Island.---.........-----.... <br />City or Village <br />.......................... .........___Rail _ .........-------------.--.---.---......... <br />County <br />73 <br />M Old Age Assistance <br />❑ Blind Assistance <br />-----...... -............ ... -............. ...._De embar_..-4-----------------.19...3-�- -- <br />-------------- ....................... - -6 .7--------- _ ---....------------------___----_--_-------------_-- <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 />Lot 7 ,Block 3 , South Grand Island. <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 hereby release the_-wdhin lien this <br />.. day of ...., 1941.f�....... ....... <br />Register of Deeds <br />Murie 1thQAy.--------------------------------------- Signed 11' .11.18m.... - at <br />- ...._... -....................................... . . ------ <br />Witness Applicant for Assistance <br />VERIFICATION <br />have investigated the .................................. iai 1.....-...-.. ------------------------- .......County records and hereby certify the above description(s) <br />to be correct to the best of my knowledge. <br />-----------------------------------Muriel-Anthonx......----------------------------------- ----- -......... <br />County or Visitor <br />To: State Assistance Director, _ ........................... __11 .................... ............... County <br />1008 State Capitol, <br />Lincoln, Nebraska ---- -------------- Dec ...... 14 -------------- ------------ 19-3�-------- <br />Received for record Certificate of Award for Application No. -._ .............8-"6.87 ----- ____ (Old Age Assistance), (Blind Assist- <br />ance) at.....__._l0.................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 />Book 1 Page 73 Signed ....................... - ...... <br />x.11 -� <br />-------------------------------------- _................... -------------- <br />Register of Deeds <br />