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This is a True Copy of <br />Certificate Originaly Issued N° 74 <br />NEBRASKA .( <br />. Director.of.Assistance BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />Wood Rivi <br />City or Village <br />County <br />KI Old Age Assistance <br />❑ Blind Assistance <br />............. _D a cemb er_--1 R--------------_.....19.....39---_ <br />----------------------------------- - 87n188-...................................- - - -......... ............ <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 />Lots 3 & 4,Blook 22,Original town of Wood River, <br />2. Legal description of all real estate not used by me as place of my residence: <br />Pursuant to the Enactment of L. & 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, �t�ereby release lien this <br />day of ......ie /!Y..... , 1941. ��JC/f UdJ <br />Register of Deeds <br />-MUT 101..../ 11�1..tah.Q..ny- ---- --- -------------------------------------- Signed ................ v8r . P-,_1��.1.1..1.B7Ci9119.................................. -------------- <br />licant <br />witnesshusband of ' CoraAgay (Williams <br />VERIFICATION <br />have investigated the ................................. ftli ... _.................. .................... ...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 />------------------------------- -- -- -ur.i, el Anvho ny....---.....------•-----...-..---- <br />County Visitor <br />............................. - ... aa; l - ...... - ................. County <br />- . D-eo-.-- -1-9--------------------19 39 <br />Received for record Certificate of Award for Application No ... ... __-.--.$-1g _------ _----- (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-.-•-••-----...�,:..._. <br />by L. B. 389, 53rd Session Nebraska Legislature, or 68-413 Com. St. Supp., 1939. <br />c <br />Book 1 Page 74 Signed .............. 'L.- <br />------------ <br />Register of Deeds <br />