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001-086
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7/8/2017 6:45:55 PM
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7/3/2017 5:44:52 PM
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This is a True Copy of <br />Certificate Originaly Issued <br />NEBRASKA N2 <br />Director of Assistance BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />_Cra ig-- I - <br />City or Village <br />County <br />M <br />® Old Age Assistance <br />❑ Blind Assistance <br />November 23 <br />..........................--.-----......-------....-------.....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 />Lot l,Block 31,Russell Wheeler Addition <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 hen release �thee�with' 'en this �y <br />. Z .. day of .......i`(_111_"__� <br />, 1941. Register of Deeds <br />--------------------------------------- u3'...4'.l__..A-1Athol.y.------------------------------- - ... Signed ................. Jul .an._._..J_.,_Bat_oz...........-------------------------..._.... <br />Witness Applicant for Assistance <br />VERIFICATION <br />have investigated the ............................._Hall......_............................... ..........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 />............................. ..... -....... - 14u IRY <br />,e.1�_._Ant .0.................................. ----.-----....... <br />County Acciciaa�—isre. or Visitor <br />- _.._..... - HIU1 ......................... -----.......County <br />4.0 <br />- Janu_arY 29------------------------19 - <br />Received for record Certificate of Award for Application No._____._..__$°. -39.4.___._----------- (Old Age Assistance), (Blind Assist - <br />o'clock and...- minutes A__M. in compliance with Sec. 68-258 Com St. Su <br />Assist- <br />ance) at..........._.1.0 .............. . _ p ' pp pp., 1937 as amended <br />by L. B. 389, 53rd Session Nebraska Legislature, or 68-413 Com. St. Supp., 1939. and L. B. 2,Januaxy 1940 <br />Book 1,Page 86 Signed. -l/ <br />........................... <br />Register of Deeds <br />---------------- <br />
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