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This is a True Copy of Reopened 4-1-1.140 Certificate Originaly Issued N2 143 NEBRASKA ......................... . .................. Direcior.of Assistance BOARD OF CONTROL DEPARTMENT OF ASSISTANCE AND CHILD WELFARE DECLARATION OF OWNERSHIP OF REAL ESTATE [$ Old Age Assistance ❑ Blind Assistance .8r nd.....Isle:nd----------------------------------_.... --------- .....------------Mex'�................. -....... ---------- ............ - - _..... 19..._�Ci ._ City or Village Hall.. - -��-1-------- --- -- - ....................................... ------------- ------ ----- --- - --- ----- ----- County 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 S, Block 3, Bonnie Brae Addition to Grand Island. (Recorded in name of Emma J.Btewart.) 2. Legal description of all real estate not used by me as place of my residence: 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 *ssistmwe-;liens of record, y release the w' m ien this .. day of ....... i/�!!? ! 4444 , 1941. .............. . Register of Deeds ----------------------Mt2r1a....Ari.ikony--------- ------------ ------ -- --- ------ --- - -- --4444 Signed ................... ............ _Fx), LB......5.t.exal't.---------.........------------------------------ 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 .................... ---------..................... ....Mur..i.e1....An_th.any..----- ..................----------------- County Assistance Director or Visitor ---------------- ---x.11..................... --------..._....County -------------MaY 1.3--------_---19---- Received for record Certificate of Award for Application No .... 40.-.35.-1 ........................ (Old Age Assistance), (Blind Assist- ance) at..._...._._._._1-0._...._..o'clock and .........3.Q_ ........ minutes ............M. in compliance with Sec. 68-258 Comp. St. Supp., 1937 as amended by L. B. 389, 53rd Session Nebraska Legislature, or 68-413 Com. St. Supp., 1939. and L. B. 2 Januar 194o Hook 1, Page 143 Signed----------------------___--------- `�'" - Register of Deeds