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r� <br />This is a True Copy of <br />Certificate Originaly Issued Q <br />NEBRASKA - 1�1r 1 <br />Director of Assistance BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />.......... nd -I:3. , na---------------------------------------------- <br />City or Village <br />Hall <br />County <br />144 <br />[X Old Age Assistance <br />❑ Blind Assistance <br />Dec.emb-------1----------------------------------------------------- -- --- ..19...9--- <br />.........................6!nv� - - ------------ -............... ..................................... _..... ........... <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 />2. Legal description of all real estate not used by me as place of my residence: <br />Part of NW4 of NWj of Section 22, Township 11,Range 9, as described <br />in Book 66 of deeds, Page 498,Hall County, Records. <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 Reg', to of Deeds to release the Old Age Assistance liens of recor ereby release t ry in lien this <br />2 .. day of ........ .�i>-5-.., 1941. ......... <br />Register of Deeds <br />-Muriel Anthony .......... ...... Signed --Tna.....Semers - <br />............... ----------.....---------------------.. .......................---.._.------ ....----------.._... <br />Witness Applicant for Assistance <br />wife of Herman Slemers <br />VERIFICATION <br />have investigated the ------ --------- _- ---- a11 ---_._______-------------_......__._.___.________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 />--------------- _...-- ----- MW -1.e.1 thony-............. .....------------------....---------------------- <br />County AssisUme-ilkneUr or Visitor <br />.......-._.... .----------Hal1------------....................... County <br />1W13 ........................................... I9.._4Q--.. <br />Received for record Certificate of Award for Application No.1.--74_ .......... (Old Age Assistance), (Blind Assist- <br />ance) at .......... _----- 19.._....... -o'clock and........3.0........... 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 January 1944 <br />Signed - - ------------ -=\�/(�a� t� �l - ------------- <br />Book 1 Page 144 Register of Deeds <br />w nc..nre w. wr nww .rw.% L'1' <br />