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This is a True Copy of <br />Certificate Originaly Issued Na <br />NEBRASKA j� - <br />Director of Assistance BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />............ ...-........... Gran8...._I.elana ............. <br />City or Village <br />..................... ---------------...._.... <br />County <br />43 <br />[Z Old Age Assistance <br />❑ Blind Assistance <br />------------------ ------------------lion@mber.._-21 --------- -..... .... _..... 19 .... . 9 <br />8-640 <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 3 ,Block 1710tiginal town.. <br />(Recorded in the name of James C.Guthrie.) <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 Nebraskaasand papphe roved <br />d M n this <br />1941, authorizing the Register of Deeds to reay 12, <br />lease the Old Age Assistance liens of record, I Y <br />(i!i{•1,e .... , 1941. . <br />7i... day of-....... Register <br />of Deeds <br />----------...... ...... ........ Murient=p ---------------------------- ---------. Signed---------.HanIB�Jane Gut hri l <br />......__.._ .. <br />.......................... <br />Witness Applicant for Assistance <br />VERIFICATION <br />have investigated the ------ ..................................._x811.-- ......................... -,-,__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 />---------------------------------------•-------•-Mureltho.n�t - - <br />County Visitor <br />-------------Ha'1'-l.-------.......-- .............County <br />----------------------------Dec 6 - 199 <br />Received for record Certificate of Award for Application No .............. 0,61401.__.__.___.__...._... (Old Age Assistance), (Blind Assist- <br />ance) at ------ ------------ 3..............o'clock and....._....................minutes ...P..*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 43 <br />Signed _._._......... - - �c-.l -- -�-' �- -- <br />Register of Deeds <br />