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This is a True Copy of Certificate Originaly Issued NEBRASKA J 1 �A b �-------------------------.D . i recta - -- r -- of --- - --- Assist - ancee-n.c........................ BOARD OF CONTROL DEPARTMENT OF ASSISTANCE AND CHILD WELFARE DECLARATION OF OWNERSHIP OF REAL ESTATE ----------------------- - W.o o d-Ri..Y.e...................................... City or Village ---------�i------------------------------------------ ---- County 131 ® Old Age Assistance ❑ Blind Assistance -----------------------------------------------Dec mbe. 7-------------------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: 2. Legal description of all real estate not used by me as place of my residence: Lots 37 & 39,Foster Subdivision to Wood River. 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 recor rebyilease hein lien this �!... day of....... ...., 1941. ............. .. ...... Register .... of De..ed'c s (r ..................... - ............. =..I.e ...Ai thow.----_---............................... Signed_ ............ ------------- .--------------- L_emls.... B.urmoad............................ -........... Witness Applicant for Assistance VERIFICATION have investigated the ------------------------ .......11all................. -............... ..__......-..-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 -----------------------------------------------Mur-lel Anthony. ------------ ............ County Assistance Brr4sbspet Visitor - ....... -----------• H82 �.--•.............-------------County --------------- _ -- - M -0h..._1-5------- ----- 19 -40 ------ Received for record Certificate of Award for Application No._._._8{-46.6-.-------- ----- ----- ___ (Old Age Assistance), (Blind Assist- ..........oclock and....__ -.- .............minutes .-.,�...M. in compliance with Sec. 68-258 C Assist- ance) at---------------�------ ' Comp. P• St. Supp., 1937 as amended by L. B. 389, 53rd Session Nebraska Legislature, or 68-413 Com. St. Supp., 1939. and . B . No. 2, �,81<luary 1940 Hook 1, Page 131 7_.,ury.c (V�� Signed-----------------------------••-----........--•---. • Register of Deeds ,nt.ue..i�wt i0. MYt itMMt, •Yt. '