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/ N <br />This is a True Copy of <br />Certificate Originaly Issued <br />NEBRASKA N2 184 <br />......................... <br />. Director of Assistance BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />❑ Old Age Assistance <br />❑ Blind Assistance <br />............................. -_,: -_.`_--------- ----------------................. 19 .... ....... .... <br />FOM DA -7 Reviud -?-44 $' N <br />........ ......... CERTIFICATT OF AWARD <br />Type of Aid-. . �"p"Aft � <br />Name of Payee - ---------- <br />In ( :�_ ;wing described <br />real estate Addres8___ <br />--- - - -Age_..~"�vumber <br />Original Grant $. ..• # "County-- -------- ~- _.._... <br />244 <br />- ---- _ __ <br />1. ---------------- _Date _..---- <br />iairtl, Daft <br />Neese of Qildrea for - <br />__._..--- - --- 19------ <br />wlt..D Aadetanea � cr�mfai <br />L (Will be idled is on ft Used at ee=ct:ieatt for childeea to POM <br />s <br />MeorlUt aid iar deDend�t eliildroa <br />L <br />s <br />2 <br />a <br />L <br />r. <br />Sisaatore of Pas _ � 1a,%� `..7i►!Lr <br />Witness <br />have investigated the .......................... <br />to be correct to the best of my knowledge. <br />To: State Assistance Director, <br />1008 State Capitol, <br />Lincoln, Nebraska <br />Signed <br />Applicant for Assistance <br />VERIFICATION <br />County records and hereby certify the above description(s) <br />County Assistance Director or Visitor e <br />19 <br />Received for record Certificate of Award for Application No -------- ---------------- --------------------------------- (Old Age Assistance), (Blind Assist- <br />ance) at ............... .................. o'clock and ................. _........ minutes ............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. <br />Signed..... -................................. -..... -............ ...- - ...................................... .......... ............ <br />Register of Deeds <br />