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This is a True Copy of <br />Certificate Originaly Issued NO 34 <br />NEBRASKA <br />Director of Assistance ........................ <br />..... 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 -----------------------_November I 0.�1'..___ <br />City or Village <br />r <br />County <br />8-762 <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 1, Block 16, Arnold & Abbott 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 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, I h releas the wi ien this <br />.. day of........ �f/l//! L...., 1941. ................. !L 4i . ..... . <br />Register of Deed <br />Muriel Anthony ................... -- .. _--------..._... <br />Witness Applicant for Assistance <br />VERIFICATION <br />have investigated the .......... Hall County records and hereby certify the above description(s) <br />a .._.... <br />to be correct to the best of my knowledge. <br />Muriel Anthony <br />--------------------------------------- - .................. ....................... ............................. <br />County 79Si Uffe€171TRE Atsr Visitor <br />To: State Assistance Director,- .......... -............ Fi- <br />all........... ......_----------- County <br />... <br />1008 State Capitol, <br />Lincoln, Nebraska Nov. -- 2iF <br />------------------- -- ------------ ---- - - 19.9------- <br />Receivedf r record Certificate of Award for Application No..-_$`-7�.2__.__...._____..._------ (Old Age Assistance), (Blind Assist- <br />ance) at .................... .._........o'clock and......3 ............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 1 Page 3Signed------•-------•-•-----------�.--�`. <br />Register of Deeds <br />44• <br />