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This is a True Copy of <br />Certificate Originaly Issued NO 26 <br />NEBRASKA <br />----------------------•.-.rec.t----- --- silt ace....-------•------•--•-- BOARD OF CONTROL <br />Director of Assistance <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />P Old Age Assistance <br />❑ Blind Assistance <br />Wood River <br />............... .... <br />City or Village <br />Hall <br />County <br />-------------------November-14....---------------- <br />—200 <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 />2. Legal description of all real estate not used by me as place of my residence: <br />Lots 7 & S, Block 3, Clark's Addition to Wood River. <br />the State of Nebraska and approved May 12, <br />Pursuant to the Enactment of L. B. 89, by the 55th Session of the Legislature of <br />1941, authorizing the Register of Deeds to release the Old Age Assistance liens of record hereby release ththin lien it�his <br />""'. %. <br />�!.... day of ....... l/11N -- • • 1941. Register of Deeds <br />-Muriel..._Anthont.Y...._..-.-................... Signed - - - -Emma J.Fulmer <br />......................--- .------......--------------- .................... <br />Witness Applicant for Assistance <br />wife of W.H.Fulmer <br />VERIFICATION <br />have investigated the .....................H --------------- <br />all <br />to be correct to the best of my knowledge. <br />To: State Assistance Director, <br />1008 State Capitol, <br />Lincoln, Nebraska <br />County records and hereby certify the above description(s) <br />------------------------------------ -Yuri-e1....Anthony.------...... ........... .... _..... <br />County Afliske a N so Visitor <br />Hall ..........County <br />---------- ------------------------------------- <br />-Nov .- 214 . ---------19 3.9 -- <br />Receive for record Certificate of Award for Application No..........-..-.2�)Q........................- (Old Age Assistance), (Blind Assist- <br />ance) at....._.... -................_.......O'clock and. .......30 .......... minutes -..... t..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 />]hook 1 Page 26 Signed ............ .......... ...... ...� ._�'`�"p..:'."...------------- <br />Register of Deeds <br />