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I <br />This is a True Copy of <br />Certificate Originaly Issued <br />NEBRASKA N2 <br />......................... <br />Director of Assistance . BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />--------------------------- _Cairo... ................................................ <br />City or Village <br />County <br />® Old Age Assistance <br />❑ Blind Assistance <br />-................................... ­D.e.,. or 21 ........................ 19 3 <br />--------------------------- 8-205.............................................................. _..._..... <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 />Ej of Wj of SEjoSection 27,Township 12,Range 12. <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 sand aPP itohid M n this <br />1941, authorizing the Register of Deeds to release the Old Age Assistance liens of record, I h(eteb/ya - <br />................. <br />V C.. .... <br />.. day of • , 1941. Register of Deeds <br />---------------------M=_twl Alrtho�y------------------------- ---- ------- Signed... - `.axy. -GQ_13.e....................... ------------------................................................ <br />Witness Applicant for Assistance <br />VERIFICATION <br />have investigated the ................................. Hai. -1...... ............................... ........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 />----------------------------------•-----------fur i el._...Anthony-........................................ <br />County Assistance Diraelera Visitor , <br />-....... . all .. -•-----•-------------------------County <br />---------January 29--------- - <br />I9 - <br />Received for record Certificate of Award for Application No -------------- 6-.24.5 ....................... (Old Age Assistance), (Blind Assist- <br />ance) at ........... 10..................o'clock and....._ minutes .... L.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. and�2J*J mary 1940 <br />Book 1 Page 99 Signed ................. _......... .. <br />Register of Deeds <br />