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