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r This is a True Copy of Certificate Originaly Issued - NEBRASKA N2 ......................... ------ Director ------- As of As-.sist------anncece........................ BOARD OF CONTROL DEPARTMENT OF ASSISTANCE AND CHILD WELFARE DECLARATION OF OWNERSHIP OF REAL ESTATE ............ ...GrandIsland............... - ................. ... City or Village ----------..........Hal1......----------...--------...----...............------ ..... County 118 ® Old Age Assistance ❑ Blind Assistance -.---------- - ------January....2,5--............................ 19...--!I�Q .. -_--_-----_-----_ 8-- Y 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: Part of SE} of SEJ,Section 4,Township 11,Range 9,as described in book 52 of deeds, page 689,Ha11 County Records. 2. Legal description of all real estate not used by me as place of my residence: 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 record, I hrelease h' ie this day of.......� f l!lti ..... 1941. (� /1� ......'�" 4 < Register of Deeds -Muriel-.._Anthony ...................................... Signed George...M.Skinner - -- ----._----------------------------------- Witness Applicant for Assistance VERIFICATION have investigated the ------------------------------ Hall ---...........____..__________._.___._..__._-_County records and hereby certify the above descriptions) to be correct to the best of my knowledge. .....................................................u,r � v.1....A.11 th o r1y.---------------------------- - County Assistance Dicac4ewor Visitor To: State Assistance Director,Ha11 ------....County ------------------------------ --------------------------------------- 1008 State Capitol, Lincoln, Nebraska ----------------- F. 2 ----- ----------- _1q40__ - Received for record Certificate of Award for Application No ----------------- $`-301-_ ------------- _ (Old Age Assistancelf-(Blind Assist - .................o'clock and.......................—.minutes ..A..M. in compliance with Sec. 68-258 Com St. Su 1937 ss amended Assist- ance) at............�.Q. ---- - P • P• Supp., by L. B. 389, 53rd Session Nebraska Legislature, or 68-413 Com. St. Supp., 1939. and L. B . 7nuary 1940 Book 1, Page 119 Signed...................... ...... ..................... ............ Register of Deeds