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This is a True Copy of <br />Certificate Originaly Issued �T <br />Neil .Mand_ emoer NEBRASKA lip 1 <br />Director of Assistance BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />R Old Age Assistance <br />❑ Blind Assistance <br />Grand Island November .-. <br />-................. -.................................. -..----------------------------------------------------------------- .............. ----... ---------0---........... -------- --------- 9._.._ <br />City or Village <br />Hall <br />County <br />9-16 <br />........................... - ........ _.......... - ... 9 <br />................. --'-------------....-..------------------------------. <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 />Lot 2, Block 3, College Addition to West Lawn <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 and approved May 12, <br />1941, authorizing the Register of Deeds to release the Old Age Assistance liens of record, ereby release -th hin lien this <br />y .. day of ....... . !/!!!! .... , 1941. .............. <br />Register of Deeds 7� <br />Muriel Anthony ......................... ' Signed------------ Alexander.._ McNerney <br />.......... -.... -........... <br />Witness Applicant for Assistance <br />VERIFICATION <br />have investigated the .......... . Hal...................................... -- ------------------------ 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 />_Muriel Anthony <br />County Visitor <br />x811...- ......... - .........County <br />- -November I.�. - 19--1-9 - <br />Received for record Certificate of Award for Application No_8.X16.9.- ---- .------ .-------------------- (Old Age Assistance), (Blind Assist- <br />ance) at.....------ .-..-._.._.......o'clock and ...... _ ...................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.- <br />Book <br />939:Book 1, Page 10. Signed�'G� <br />Register of Deeds <br />