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This is a True Copy of Certificate Originaly Issued N2 NEBRASKA - ------------------------ - - - Director ---------- of As-A.ssist....ancee. n.c........................ BOARD OF CONTROL DEPARTMENT OF ASSISTANCE AND CHILD WELFARE DECLARATION OF OWNERSHIP OF REAL ESTATE - -------------Grand -I el anal ........... ... . .. ................ City or Village ........... - .... Hall ............................... ----- -- ---------......................... County 116 EI Old Age Assistance ❑ Blind Assistance ---------......... - ...... .January -24 ................... _._..... 19._1W _.._ --3 3------. 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: 2. Legal description of all real estate not used by me as place of my residence: Lot 4,Blook 14,Lambert 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 the Register of Deeds to release the Old Age Assistance liens of reco hereby release t ithin lien this 2 .. day of ..... �(i!/LG�...., 1941. Register of Deeds .-----------------------Joe....G Lut-r3en.---...--------------------------------------.---- Signed----------- Pedro Palomares Witness Applicant for Assistance VERIFICATION have investigated the.................................H>�-1............................................. 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 ----------------------------------Muriel.._Anthony.........--------------- .................. _..... County Assistance Zifaciaf-ef Visitor ........... -----------------------He�l1 --- - County -- -February -2- 19 40 Received for record Certificate of Award for Application No --------------- 0-'3 3..-_-.___:_.___ (Old Age Assistance), (Blind Assist- ance) at 1.0 .....................o'clock and ........-.-............. minutes ..._&*M. in compliance with Sec. 68-25LComp C mpSt. Su 1937 T awded by L. B. 389, 53rd Session Nebraska Legislature, or 68-413 Com. St. Supp., 1939. � JATIti Book 1,Page 116 Signed ._........ _........... (�_,'t^' _..---.'``.� - Register of Deeds