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This is a True Copy of Certificate Originaly Issued N2 NEBRASKA Lv -------------------------- ---- Director ------- .of -------Assist---a----nce------------------------ BOARD OF CONTROL DEPARTMENT OF ASSISTANCE AND CHILD WELFARE DECLARATION OF OWNERSHIP OF REAL ESTATE ............ -Wood--. Riper--- ..... _.--.. City or Village Ha21 County 129 ® Old Age Assistance ❑ Blind Assistance ------------February--------?Z................... 19 - 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: Lots,1,2,and 3;Block 1;Dodd & Marshall's addition to Wood River. Recorded in the name of Eva M.Garrison,spouse. 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 Sescipn 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 y release the wi ' yen this .. day of ......... ... , 1941. ................ . ` Regis of Deeds ......................... ..... �rlel-.._An_thony ------------------ Signed ----- ----------------- -- Charles -K-.Garrison-------- ..... ............ 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. -------------------------------------------- ------.Muriel ................ -.... -........... County Assistance Gipookmh•r Visitor To: State Assistance Director, ............................. _... Hfial ......................... ...... County 1008 State Capitol, Lincoln, Nebraska -- ------ --.--- Received for record Certificate of Award for Application No. --_-_40--Q4-1 ----- ----- ..-- (Old Age Assistance), (Blind Assist- --...o'clock and. ------.---.-------...minutes A. -.-M. in compliance with Sec. 68-258 Com St. Su 1937 as amended Assist- ance) at.... -.._.._.1. ..-.-.._. p ' p. Supp., by L. B. 389, 53rd Session Nebraska Legislature, or 68-413 Com. St. Supp., 1939. d L. B. 2 J a ary 1940 Book 1, Page 129 Sig ned.----------•-----------------------------/J-�' ` `---------------_---- Register of Deeds