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This is a True Copy of <br />Certificate Originaly Issued <br />NEBRASKA lr �T <br />2 <br />............................... Director ........ of As.A.s----sist---a----nce--...------............. BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />--...................... Waa-._R1v...e.r...------------------......... .......... <br />City or Village <br />County <br />104 <br />Old Age Assistance <br />Blind Assistance <br />_............... _................ Januar.Y.....-,?-3----------------------------..._.---.19AL _.-_ <br />---------------------------......8622................................................................ ------------- .... <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 />S144 of Section 27, Township 10, range 12. <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 eby rel <br />ease the, wythiy lien this <br />�... day of .i(i_i/� ..., 1941.�;e�ys�d ..U.dJ:c <br />Register of Deeds <br />- <br />------ -------- ----------- -......... Murlel..-.A.n.tho.U_....................................... Signed - -- Ra.s.e.a11x1a - Jane..... Nel.s.on......................... _... -- <br />Witness Applicant for Assistance <br />VERIFICATION <br />have investigated the ................. .---------- hall ....... _......................................... County records and hereby certify the above description(s) <br />to be correct to the best of my knowledge. <br />...............................................---------_.----_---..-.M.ux.i.el. Anthony-;,. <br />County Assistance- imtw-ei-Visitor <br />To: State Assistance Director,---------------------------H.&a..1.-----------......... - .... _........... County <br />1008 State Capitol, <br />Lincoln, Nebraska <br />__ -- -- -- - February - --2 - -.19__4.Q -- -- <br />Received for record Certificate of Award for Application No.__.. ---------- 4.-5_22 ---- ---- --------- (Old Age Assistance), (Blind Assist- <br />ance) at .... -............. ..................o'clock and ..... - .................... minutes ........... 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. and L. B. 2 Jan ry 19+0 <br />Signed .1.!..�'-! d -� <br />--------- - - <br />Book 1 Page 104 Register of Deeds <br />