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This is a True copy of <br />Certificate Driginaly Issued <br />NEBRASKA N2 �11 <br />................... <br />. .... Director of Assistance "" BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />)❑ Old Age Assistance <br />❑ Blind Assistance <br />..--------------------Grand..-.I s.Viand_................ -.............. <br />City or Village <br />Hall 8-810 <br />------------------------------------------------------------------------------------------.....................................................-.......................................... ---...... <br />County Application Number <br />In compliance with State Assistance Statutes in Section 68 Comp. St. Supp. 1937, I 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 6, Block 7, Kernahan & Deckerfs Addition <br />Recorded in the name of Daisy L.Johnson, spouse. <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 release the wit ' ren this <br />,testi �t�GQ�Z3 <br />.. day of lam— ., 1941. p <br />Register of Deeds <br />---------------- ------_>alari-e-1-----knti7.a .y..-......---------- -------------------- Signed .............................. T-._-t...J.ohns.on.............................. ................................ <br />Witness Applicant for Assistance <br />VERIFICATION <br />have investigated the ....................... .---------------------- ...Hal -1....----- .................... County records and hereby certify the above description(s) <br />to be correct to the best of my knowledge. <br />............ ...................... -..... ..................... 1n th Q. x....................... -........... <br />County Assistance-Dk*GWF-er Visitor <br />To: State Assistance Director, <br />1008 State Capitol, <br />Lincoln, Nebraska <br />..............................Hai: -----------------------County <br />............... Fekrwr-v 2 -------------- -19 .)4Q...-.. <br />Received for record Certificate of Award for Application No ................. 8.810.................... (Old Age Assistance), (Blind Assist- <br />ance) at......._._..1p..--.----..._..o'clock and ............ _._..-.....minutes ......A.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.d�W2nuary 1940 <br />Book 1, Page 111 Signed ........... _.--------- ----------- -�` <br />` . '�----------- --------- <br />Register of Deeds <br />