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This is a True Copy of Certificate Originaly Issued N� NEBRASKA ...................... irector of Assistance . BOARD OF CONTROL DEPARTMENT OF ASSISTANCE AND CHILD WELFARE DECLARATION OF OWNERSHIP OF REAL ESTATE .................. WC.o.d_..Aiy.er._, ._.._.................... City or Village --------------B&-ll------------------------------- ----------------------------------------------- County 10'7 & Old Age Assistance ❑ Blind Assistance ................................J..a.nuary--23..------------------------------------.19...40..---- - - ........................... .—_5-53 ---------------------------------------------- ._............................ 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: Lot 1, Block 6, Dodd & Marshall Addition 2. Legal description of all real estate not used by me as place of my residence: Lot 2, Block 6, Dodd & Marshall Addition Pursuant to the Enactment of L. B. 89, by the 55th Session of the Legislature of the State of Nebraska and approved May 12, 1941, authorizing,ee Register of Deeds to release the Old Age Assistance liens of record,_L-hereby release the Yi*n lien this ?:'.. day of_ .......�li//�t C-..., ,1941. (��///..� Deeds � Register off Deeds ------------------------ --------- ---- ux_i.e.l._.Anthony-----------------........... ....._._. Signed----. ----------- ..................... .._..... ...._..Olint..c.n. 1. _5m1th...-------------------- Witness Applicant for Assistance VERIFICATION have investigated the.......................................Half............... ..-.-..-----County records and hereby certify the above description(s) to be correct to the best of my knowledge. To: State Assistance Director, 1008 State Capitol, Lincoln, Nebraska ----------------------_------_--- Mu-r--.i-e1---Andaan-j�-------------------------------- ------------------ County Assistance Dirseter-or Visitor -•--------• ................---Hall .............. ............ County ------------- ---------- .e.hr..uar-3r----2 19 4.0- - Received for record Certificate of Award for Application No--____�.—} .�}_._________.___- (Old Age Assistance), (Blind Assist- ance) at- ------- 1Q ................. -..o'clock and ................. ...... ._.minutes-�..i-_r...M. in compliance with Sec. 68-258 Comp. St. Supp., 1937 as amended by L. B. 389, 53rd Session Nebraska Legislature, or 68-413 Com. St. Supp., 1939. and L. B. 2 . Januar , 1940 g� Book 1 Page 107 Signed ........ ...........te Dee `"``�-� s � Register of Deeds