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This is a True Copy of <br />Certificate Originaly Issued <br />NEBRASKA lr �T <br />O <br />Director of.Assistance . BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />------------------------------W.00d Rimer-----------...--------.............. <br />City or Village <br />Hall <br />County <br />93 <br />® Old Age Assistance <br />❑ Blind Assistance <br />------------•---------------.... a c_emb e r -22---6- ................. ..... 19..... 3.9... <br />............................... _...-----.......g--6-x}0------- -- - . --------------------...--------.................. <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 7,9,9, and 10;B1ock 4;Dodd and Marshall Addition to Wood River. <br />2. Legal description of all real estate not used by me as place of my residence: <br />release the w� lien this <br />Pursuant to the Enactment of L. B. 89, by the 55th Session of the Legislature of the State of Nebraska and approvedMay 121,,Y� <br />1941, authorizing the Register of Deeds to release the Old Age Assistance liens of record, where 0 <br />7! .. day of ....... ,�i(/!'t!L..... , 1941. <br />Register of Deeds <br />-Muriel. -Anthon-------------------------- signed.. = ii1liam Jam -0.8 <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 />-------------------------------------- --- -- -------Mur ei....,An t ho ny-........................................... <br />County Assistance iireeier er Visitor <br />-------------------- - _HSl....................... ...... County <br />- + a=ary_- - - 19 - <br />Received for record Certificate of Award for Application No ------------ ._$t.!6-50 ------ -_._-_... (Old Age Assistance), (Blind Assist- <br />ance) at....._..10................... o'clock and...-.- .....-..minutes .....A.M. in compliance with Sec. 68-258 Comp. St. Su p., 1937 as amended <br />by L. B. 389, 53rd Session Nebraska Legislature, or 68-413 Com. St. Supp., 1939. nd L .B . No2 Vary 1940 <br />�!� � <br />Book 1, P age 93 Signed.---._------------------ ._......-.. ------------------------------- <br />Register of Deeds <br />