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This is a True Copy of <br />Certificate Originaly Issued <br />NEBRASKA <br />8�tre,G� <br />Director of Assistance Y1dQIDQQ�................. BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />N2 it <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />® Old Age Assistance <br />❑ Blind Assistance <br />..... _................ .axand .Island ................ .................. .................. ........................ N4y-e. e __9------------------------------19 3 -9 ---- <br />City or Village <br />Hall-------- --------------------- -----=---------------------- - ------ ---------- ----------------------9 233.................... ........------......... ------------_......----------- <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 />Lot 6,Blook 1*;Walliohe Addition. <br />2. Legal description of all real estate not used by me as place of my residence: <br />Lot 3,Blook 6,Bomie Brae Addition. <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, hereby Drelease 'the thin lien this <br />7! ... day of (L !i..... , 1941. ..........�= K! ..`�./•//J <br />Register of -Deeds <br />lftiriel <br />...-At3t21oA - Signed ............................ W8.... V7 ... $Or' -.......... ........... <br />Witness Applicant for Assistance <br />VERIFICATION <br />have investigated the ...........................ga11__.__..._...._....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 />........... -................ ------Ha11..._....... ...._.....County <br />- -.lo- ember 18 -.--.---19--34------ <br />Received for record Certificate of Award for Application No ........... ___9_---233 --------- ----------- (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 />BOOP l <br />Signed _------------------------------- mss _....._----------- <br />:Page 11Register of <br />M.vWNIR b. MMf HWO. I1M. <br />