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This is a True Copy of Certificate Originaly Issued A NEBRASKA 1r2 ......................... ...... ............Director of Assistance......................... BOARD OF CONTROL DEPARTMENT OF ASSISTANCE AND CHILD WELFARE DECLARATION OF OWNERSHIP OF REAL ESTATE ® Old Age Assistance ❑ Blind Assistance ..... -................ -.... 100 Rive City or Village -------------- ................ Fiall-............................................................... County ------------------------------------------Fel ru Y -97 .................. 19..x _.... 40-461— 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 1,2,3,& 4; Block 8; Original town of Wood River. 2. Legal description of all real estate not used by me as place of my residence: Lots 3 & 4,Block 1,Clark`s Addition 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 Regist r of Deeds to release the Old Age Assistance liens of record I�,h.reby release tijc�j�hin lien this .... , 1941. j�//J-C...U.d......... . ............. . . � .... day of ........� Register of Deeds .............. .............. _... ..�lel....Anthony-------------- --------------------------------- Signed ----- -------------------- Lena -._J-._Beehler...... ............ Witness Applicant for Assistance VERIFICATION have investigated the .......... -------------------------_Hall. ........................... .............. 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 .-----•--- ------------------------- - --------------M I!Dl----Anthony-- ...................... ................... County Assistance Bireel&VCW Visitor -------- -------------------_....Hall.---------------------------- County - ----- -_------- -----.Mch- 3-5 - -- - i qW- Received for record Certificate of Award for Application No ------------- 4Q-- .61.-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----------_...�----- ---- p • p• pP•. by L. B. 389, 53rd Session Nebraska Legislature, or 68-413 Com. St. Supp., 1939. and L. B.2 Jan y 1940 BOO$ 1,Page 132 Signed .................................. - .............'` `''.......- Register of Deeds a