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This is a True Copy of <br />Certificate Originaly Issued <br />NEBRASKA N? <br />Director of Assistance BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />Shelton, -Nebraska_ <br />City or Village <br />------------------------ ----------------- Burfalo................................. <br />County <br />141 <br />® Old Age Assistance <br />❑ Blind Assistance <br />..... -............ -----...... UAr ch.11.1........................ ........... ..... 19---. ... <br />to -446 Al <br />........... -..... --A-g-34 ----- -- <br />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 />All property described in Book 12,Page 37 of Buffalo County Deeds Records. <br />2. Legal description of all real estate not used by me as place of my residence: <br />N* of the NWJ of Section 6,Township 9,Range 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 approved May 12, <br />1941, authorizing the Regist of Deeds to release the Old Age Assistance liens of record, I release the n ien this <br />_� <br />.. .... day of CrG? LCi ... , 1941. <br />Register of Deeds <br />...------- -- -Glady .-..Timmerman_ ................_.................. .... Signed-------------- --John -W.-Stratton---.... <br />Witness Applicant for Assistance <br />VERIFICATION <br />have investigated the .............._--.-_...-.-----BufAaIQ----_------_-.-____-......-.__..County records and hereby certify the above description(s) <br />to be correct to the best of my knowledge. <br />.......... ___ .............. .... ladyfl. -T mm rmar................... -------------------- -------.. <br />County Assistance Director or Visitor <br />To: State Assistance Director,---------------------------_Hall.--.---............-...........County <br />1008 State Capitol, <br />Lincoln, Nebraska ------------------ - ------ April 26 --------------- -- <br />lo-446 Al <br />Received for record Certificate of Award for Application No ............. —AA4Old Age Assistance (Blind Assist- <br />ance) at_.__-.-.11-_._..--.._..o'clock and .-..-....x...55 --------- 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. and L . B . 2 Ja` ry 1940 <br />Book 1, Page 141 Signed ................................ (...... <br />R egister of Deeds <br />m•w••n�x•a. wo nws, xw. � ' <br />