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This is a True Copy of Certificate Originaly Issued -------------------- Director of Assistance NEBRASKA BOARD OF CONTROL DEPARTMENT OF ASSISTANCE AND CHILD WELFARE N° 85 DECLARATION OF OWNERSHIP OF REAL ESTATE ® Old Age Assistance ❑ Blind As$istance --Gra?d..__I Island- _........ -D a c_emb a -r - 2 -- - - - 19.x...__. City or Village ............. -H 1------------------------------- -1 ....----------------------------........... -.......... .................... 8-423.. ------------ _---------------------- ----------------------------- _----------- 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: All of fractional Lot 8 in fractional Block 16,Arnold and Abbott Addition;and part of fractional Lot 8 in fractional Block 2 of Arnold Place;and part of fractional Lot 8 in fractional Block 2 in Spaulding and Greggs Addition,City of Grand Island. (A rectangular tract having an easterly frontage of 62 feet feet on Washington Street and depth of 5 2. Legal description of all real estate not used by me as place of my residence: f e e t 9 inch e s. tate of Nebraska and approved May 12, Pursuant to the Enactment of L. B. 89, by the 56th Session of the Legislature of the Sthis y 1941, authorizing the Register of Deeds o the Old Age Assistance liens of record, I here rele Ddtrelease as ht)n t'�C ....... 1941. day of ....... Register of Deeds - -oriel Axithpny---------------------._... Signed........Chas -B.-Freeman- ..... .... ........................................ Witness Applicant for Assistance Husband of Eva Freeman VERIFICATION have investigated the .......................... ........... Hall _..................................... _County records and hereby certify the above description(s) to be correct to the best of my knowledge. Muriel Anthony -- -------------------------------............. _......... County Visitor To: State Assistance Director, _ ....................... a1l................. .._.......... County 1008 State Capitol, Lincoln, Nebraska........... J&7lt�ar_y.._.�9__._.._______----------- 19 -0 - Received for record Certificate of Award for Application No..............$.7423....................... (Old Age Assistance), (Blind Assist - .o'clock and minutes ...A...M. in compliance with Sec. 68-258 Com St. Su 1937 as amended ante) at----------�--------------- -- P � P• PP•, by L. B. 389, 53rd Session Nebraska Legislature, or 68-413 Com. St. Supp., 1939. and L.B.No 2 anuary 1940 Book l ,Page 95 u✓ Signed ---- --------------- .------- --------------- - Register of Deeds