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This is a True Copy of Certificate Originaly Issued NEBRASKA N2 ......................... . Director of Assistance BOARD OF CONTROL DEPARTMENT OF ASSISTANCE AND CHILD WELFARE DECLARATION OF OWNERSHIP OF REAL ESTATE Grand Island City or Village County 172 X] Old Age Assistance ❑ Blind Assistance -... -........ Nay.emh_er- 6 ------- ----------------- ........................ -._..... I9._4{?......_ -- x'67-9-1 .............. ------ ---------------------------------- ....................... ............_..... 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: 2. Legal description of all real estate not used by me as place of my residence: Lots 8, 9, & 10; Block 79; Wheeler and Bennett 3rd Addition. 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 Assistance liens of record, by rel ase the Nj lien this Y.... day of'�.... , 1941. ' Register of Deeds^ Muriel e 1AnthonySigned------------------------------------------ Asm_i ------------- ....----- --------------- ------ ------- -._---------------- 1-1---._.....-- --........-- --.....------------ 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. ------------- -------------- Mur _e1 -Anthony ___ - Count r Visitor To: State Assistance Director, ----------- .................. _..._Ha 1 .................... _........ _County 1008 State Capitol, Lincoln, Nebraska ..Dezemb-er.....14,........ _................ .19...._40 Received for record Certificate of Award for Application No Q7njk79-.-1.............-........ (Old Age Assistance), (Blind Assist- ance) at ............... 9 ......... . ........ o'clock and .........3Q.........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 JaYl7ry 1940 Book 1, Page 172 � `/J/j Signed. ... ................ . ..........mac_ L -------- - -- - - Register of Deeds M MIW.IiM p. .IYIO..W. 11W.