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This is a True Copy of Certificate Originaly Issued NEBRASKA N2 ....................... ................. Di rector. of Assistance .. BOARD OF CONTROL DEPARTMENT OF ASSISTANCE AND CHILD WELFARE DECLARATION OF OWNERSHIP OF REAL ESTATE ................................ r.. an....I.... l e I anal........................ City or Village -------------- ------...................... a 1 ----------- .....---------- County 13'7 ® Old Age Assistance ❑ Blind Assistance ..... ................................................. J.anu.ary... 1.6 ................... 19...40 -.... -222 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: Lot 10,Block 35,Wasmer Addition,Grand Island,Hall County,Nebraska, 2. Legal description of all real estate not used by me as place of my residence: Lot 9,Block 35,Wasmer Addition,Grand Island,Hall County,Nebraska. 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, eby rept lien this z .. day of ......' .... , 1941. ............. . Register of Deed X - - ........_Muriel...Anthony...............................Signed _...................Henr -F- Henne Y - Witness Applicant for Assistance VERIFICATION 1 have investigated the ................._............ Hall.... ............... ............................ County records and hereby certify the above description(s) to be correct to the best of my knowledge. ................................ -Nuriel Anthony .................. __----- ---- ...... County Assistance Director or Visitor E3E3E3E3E3E3E3E3 Jo: State Assistance Director, 1008 State Capitol, Lincoln, Nebraska Hall ---------- - - -.April--- 3- ---- --- - .19 -40 - Received for record Certificate of Award for Application No ............ $-- _` 2_-22_________________________ (Old Age Assistance), (Blind Assist- ance) at..... -...._-11 ............... o'clock and ..... - fTtL:.minutes A.M...-.in compliance with Sec. 68-258 Com . St. Supp., 1937 amended by L. B. 389, 53rd Session Nebraska Legislature, or 68-413 Com. St. Supp., 1939. and L. B. Com 1940 11 7 Book1, Page 137 Signed----------------------------------------- ................ Register of Deeds