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This is a True Copy of <br />Certificate Originaly Issued <br />NEBRASKA N? 153 <br />......................... ------ Director ------- .of --Asssistaist.-----nce ------------------------- BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />[?q Old Age Assistance <br />❑ Blind Assistance <br />.- ......... ................... Gran d..._ I -eland --..----------------December 21 <br />..... -............ -- -...... -.............................................. -............................ - ..... 19..39......... <br />City or Village <br />--------------------- .......... ---------- -- Hall.-- ---................................. ..........................-'19.3-..... <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 />West 66 ft.of Lot 5,Block 2,Hann's 2nd Addition. <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 an�hepprov7Deds" <br />d May <br />this <br />1941, authorizing the Regi ter of Deeds to release the Old Age Assistance liens of record, Y <br />s <br />... <br />1941. <br />.�.... day of; ...... .............. <br />Register <br />------------------------------------------Joe-G.Lutgen-------------------------------------------. Signed-- ... -..................... . ...Hugh Bary.ev . ------------------------ <br />Witness Applicant for Assistance <br />Husband of Janet Harvey <br />VERIFICATION <br />have investigated the .....................................Hal.]. County records and hereby certify the above description(s) <br />--- ----------- ----- - <br />to be correct to the best of my knowledge. <br />To: State Assistance Director, <br />1008 State Capitol, <br />Lincoln, Nebraska <br />---------------- - - ------.....Kur el. Anthony..:....-- - .... - <br />County-*miet nee-Dircecer P -Visitor <br />- - ------ ' -- ----------County <br />---------------------- ----July ---I IS ------------------ -19-4p <br />Received for record Certificate of Award for APplication No ......... �..` 193 ........................... (Old Age Assistance), (Blind Assist- <br />ance) at .......... .3 .................... o'clock and..............5........ minutes -........s.M. in compliance with Sec. 68-258 Comp. St. Supp., 1937 as 4mencled <br />by L. B. 389, 53rd Session Nebraska Legislature, or 68-413 Com. St. Supp., 1939. and L . B. 2, January 19+0 <br />Book 1 Page 153 Signed .. ..................... (2 `JV <br />-`-''� <br />------------------------ --------------- <br />Register of Deeds <br />