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This is a True Copy of <br />Certificate Originaly Issued <br />NEBRASKA N2 136 <br />Director of Assistance BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />® Old Age Assistance <br />❑ Blind Assistance <br />..............................el tonLNebra.ska. <br />''eb'i1B'y.. q.s......... ................. I9.....-40-- <br />........ <br />City or Village <br />-------------- ---------------- Ruffalo --------------------------------------- .-A.-.70 -...----------------------1QnR? -A-------------------------------------- <br />County 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 4 in Section 1-9-13,Shelton,Nebraska <br />2. Legal description of all real estate not used by me as place of my residence: <br />SES of the NW4 of Section 6-9-12,Hall County,Nebraska <br />SEI of the SEJ of Section 31-10-12,Hall County,Nebraska <br />Pursuant to the Enactment of L. B. 89, by the 55th Session of the Legislature of the State of Nebraska and approvedd May 12, <br />1941, authorizing the Register of Deeds to release the Old Age Assistance liens of record, by/ release the/ w E i lien this <br />�!.. day of........ �tI/iLL..., 1941.`�^�`�"" <br />Register of Deed <br />--------G1ad,Y..s_...T Timmerman ...............- ........... Signed-----------------dergel ..Ay.er.e..--------------------.....------.------- <br />Witness Applicant for Assistance <br />VERIFICATION <br />have investigated the -__ ------------ ___________BuffAl-0------ ------------ ._.....__.........County records and hereby certify the above description(s) <br />to be correct to the best of my knowledge. <br />-----------------ailau-e- T-1=er'n►�1- .............. ............. <br />---- <br />County Assistance Director or Visitor <br />To: State Assistance Director, <br />1008 State Capitol, <br />Lincoln Nebraska <br />------ ----------------------.Hall.----------------------------County <br />M -ch- 21 - -- 19-4.0 ..... <br />A-04 <br />Received for record Certificate of Award for Application No ......... b.-3-�.Z-Ae.......... (Old Age Assistance), (Blind Assist- <br />ance) at.....------ 10 .... ............ O'clock and ......- .mn..._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. <br />Book l,Page 136 Signed ------------------ -�-�— <br />Register of Deeds <br />