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This is a True Copy of <br />Certificate Originaly Issued <br />NEBRASKA 1r NT <br />O <br />....................... Director of Assistance........................ BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />Grand Island <br />City or Village <br />.............................411 --------- .............-......----- ....................... <br />County <br />117 <br />® Old Age Assistance <br />❑ Blind Assistance <br />---------------- --------J�-1�Y----�-5............ ....... --_..... 19...._?4.... <br />..----............ -........... 9'- 3.0 <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 />Lot 19,Block 8,Rollins Addition. <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 recor ereby release i lien this <br />�... day of ......� ..., 1941. . <br />Register of Deeds <br />....................... _..............._fur.i...e1.....Anthon.X..---------...................... ..... Signed ------------. ----Minnie -M.Frye <br />........... ..... ...... <br />Witness Applicant for Assistance <br />I have investigated the .......... ................. _fi-al-1 <br />to be correct to the best of my knowledge. <br />To: State Assistance Director, <br />1008 State Capitol, <br />Lincoln, Nebraska <br />VERIFICATION <br />records and hereby certify the above description(s) <br />Muriel AntonY <br />---------------------------------------- ...................---_h..-----...........----...._._..... <br />County Assistance-Direetarer-Visitor <br />----------- -------- --------- Hall ..........County <br />---------February 2 ----------------19 <br />Received for record Certificate of Award for Application No._--_.__-. S`.-- 0 Old Age Assistance), Blind 'Assist- <br />___ pp 3 3 -- - - ( s ) (Blind <br />Assist- <br />ance) at.....-----10..................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. and L. B.2 Ja ry 194U <br />Book 1 Pa e II U. s !3 7 Signed. ................---..-. 1j.... -..-- <br />Register of Deeds <br />