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This is a True Copy of <br />Certificate Originaly Issued �T <br />NEBRASKA lr 2 <br />.. Director. of Assistance. BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />.............. -........... -...................................... _ <br />City or Village <br />•---.-•----- ---------- r .---------------•-------..-....--- ..............-- <br />County <br />62 <br />:K] Old Age Assistance <br />❑ Blind Assistance <br />- <br />................................... - ............... -.... ac. b.qtr......5.......... _..... 19----- .9.- <br />................................ ....55_"C?Q..................................................... -•---......-.........-........... <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 />Si of Lot 5,all of Lot 6;Blook 1;1st Addition to Cairo. <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 y release the wi� lien this <br />....Z.. day of...... c-:....., 1941. L..�iaC vv.. u!� <br />u Register of Deed. s 0 <br />Muriel...__Anthony--------------------------------------. Signed-----------...........................-._S.._Veeder - <br />- ----...._.....---... <br />Witness Applicant for Assistance <br />VERIFICATION <br />have investigated the ......................... ------------- 1-wi.1__..................... ......_._._._._..County records and hereby certify the above description(s) <br />to be correct to the best of my knowledge. <br />--------------------------------..M=A.el Anthony.---- . -- --- --------------------------•----_ ..... <br />County A22isfamsema4rahwor Visitor <br />To: State Assistance Director, .............................. �1_............... .................. County <br />1008 State Capitol, <br />Lincoln, Nebraska <br />-- -- -- - Dec _.----- i4- ----------19-----��---- <br />Received for record Certificate of Award for Application No..___a-6p-------- ------------------ _ (Old Age Assistance), (Blind Assist- <br />ance) at. 1.0 ................. 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 />Book 1 Page 62� <br />Signed.-.................... --- <br />Register of Deeds <br />