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This is a True Copy of <br />Certificate originaly Issued Re-openedNEB ASKA 0 NO 142 <br />...................... .. Director ....•----- of Assistance ........................ BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />[X Old Age Assistance <br />❑ Blind Assistance <br />_Grand -;a1 anal-------- ------------ ............................. .................. ...... ............ Januar.-F ..... 8 .......... ..................... 19._.1� <br />City or Village <br />.................. ............................ .......... ....... _...... --- 1 9-16, 4-1.--_.............---. ............................... <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 2, Block 12, Bonnie Brae Addition. <br />Recorded in name of Estella E.Reed <br />2. Legal description of all real estate not used by me as place of my residence: <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 Register of Deeds to release the Old Age Assistance •liens of record, y ref/lease the lien this <br />.. day of ...... �iU1.i. . <br />1941. ....... . <br />Register of Deed <br />- Murlel_..AnthonY---------........................... ----------------- ---------_ Signed-- --- ---------------- ------------------- ails -on L...Re-ed....... __........................... <br />Witness Applicant for Assistance <br />VERIFICATION <br />have investigated the ..-.-...-..-_Hall ................................... ....................... ...... County records and hereby certify the above description(s) <br />to be correct to the best of my knowledge. <br />To: State Assistance Director, <br />1008 State Capitol, <br />Lincoln, Nebraska <br />Muriel Anthony <br />-------------------------------------•------------------------------------------ -------------- --- ------------ I -- -------------------------------------- <br />County Assistance t7IMM.r or Visitor <br />--------------- -----------_...Ht311-------------...--------County <br />- --- May ---13- -------------------------------140--------- <br />Received for record Certificate of Award for Application No. --4-o16.4.,--1------------.-- (Old Age Assistance), (Blind Assist- <br />ance) at.-._.--_lQ--- _-.-.---.._..o'clock and .-..-._ 0. .......... minutes -.._AM. 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 <br />L'B�2 JanY, 1940 <br />Signed� <br />Book 1j. Page 142 ------------ ........................ /_1.. -Register of Deeds........ --- <br />1M[.W6..i�M b. MAIC �.WO. 11Ys. <br />