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f / \ <br />This is a True Copy of <br />Certificate Originaly Issued �T <br />NEBRASKA 1v 2 <br />Director of Assistance ... BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />............................. _.wro.-....---------------------- ....................... ----------........ <br />City or Village <br />Hall <br />County <br />72 <br />M Old Age Assistance <br />❑ Blind Assistance <br />------------------------------------------ December 5 .......... -.......... _..... 19...39_ _ <br />-x-59------------ .................... ----- ............................ -........... <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 />North 13.6 feet of Lot 10 & all of Lot 11,Block 2,5th 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 hereby <br />release th ' hin lien this <br />....%/ ...day of <br />, 1941. .I. .......... �> " Register <br />Deeds' of Deeds <br />--------------------------------.... j4X1.01..-_AV hoAY----------------- -------------------------- Signed Armenia My Corms ok <br />_... - <br />...............................-- <br />Witness Applicant for Assistance <br />Wife of L.W.MoCormick <br />VERIFICATION <br />have investigated the --------------- .-------------------- Hall ............................. ............ County records and hereby certify the above descriptions) <br />to be correct to the best of my knowledge. <br />- -W=1.e .._MQ00rm -ck ................. <br />County or Visitor <br />To: State Assistance Director,_......_Hall............................County <br />1008 State Capitol, <br />Lincoln, Nebraska----Deo--.--14 ------------- --- ---- --------193-9 <br />Received for record Certificate of Award for Application No --- ----- ---_---..-_-8 59 -------- __-__ (Old Age Assistance), (Blind Assist- <br />) .......o'clock and...........................minutes ..A...M. in compliance with Sec. 68-258 Comp. St. Supp., 1937 as amended <br />Assist- <br />ance) at-----------1•-•-----•------ <br />by L. B. 389, 53rd Session Nebraska Legislature, or 68413 Com. St. Supp., 1939. — <br />J-!.� ....... ....... - ----------- <br />Book 1 Page 72 Signed -----------------------------_i../�- <br />Register of Deeds <br />