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This is a True Copy of <br />Certificate Originaly Issued <br />NEBRASKA NO. 25 <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 />........... -........ Grand .....Island .............................................. ...................... ...Noiremb.ger......17----- --------- -_-----193 <br />City or Village <br />9 5-x----------- ......._..........._. ----------..... -----..... ........... <br />_..._..._ <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 />Borth 38 ft.of Lot l,Block 4vEann'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 at -tike l +f tie Stme 4 Nebruslca and appr"ed May 12, <br />1941, authorizing the Register of Deeds to release the ON Age Assistance liens of record I hereby release slumswithin lien this <br />1941. C iL.L ...U. <br />�!... day of .......�.0 Register of Deeds <br />................ -......................... --.._ CiT el...-Jlutho.21-_.------------------- ----- Signed........ --............... ------.......mol ne o_nk. <br />-------------------------- _-------- <br />.._.. <br />Witness Applicant for Assistance <br />VERIFICATION <br />have investigated the ....................__ .......................... -Hall ............. ...-...-....County records and hereby certify the above description(s) <br />to be correct to the best of my knowledge. <br />----------------------------_Mur1.01.-..Anth...Q ............................. - ... _..... <br />County Visitor <br />To: State Assistance Director, .................................. Ellan-...................-...._.--..County <br />1008 State Capitol, <br />Lincoln, Nebraska ----------------------- Nov ...P4 -------------------------- 19--39------- <br />Received for record Certificate of Award for Application No ----- --.------ _.-__-8--5-7 ------ ___-_. (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 />Book 1,Page 25 Signed. _.. ...................................... . ` ` '_----------------- <br />Register of Deeds <br />