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This is a True Copy of <br />Certificate Originaly Issued <br />NEBRASKA N2 <br />......................... <br />---------------•------ ul�etto�.of Assistance--------•--------------• BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />------------_-.-.Wood-M.ver................... ................ <br />City or Village <br />- <br />............................ .Hal -------------------- ........-.-....--------- -------- <br />County <br />154 <br />XX Old Age Assistance <br />❑ Blind Assistance <br />--------------------- --------- .. J..u1,Y 5 --...................... ........... 19..)i3?..-.._ <br />40-7 0"1---_--__- _------------........ -...................... -........... <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 />} interest in Lot 6,Bloek 1,Dodd and Marshall's Addition to Wood River. <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 r y relea the wi in 'en this <br />7!.. day of ....... (/!!1���... , 1941. .............. <br />Register of Deeds f/ <br />-------------------------------------- - ---- -- <br />Muriel.. Anthon------------------------------------ Signed------------...--------------------------------------------ith.--�Gurphy.. ....................... <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 />To: State Assistance Director, <br />1008 State Capitol, <br />Lincoln, Nebraska <br />)Muriel Anthor� <br />--------------------- <br />County AssistanceJA*e.ter.ar_Visitor <br />....... ----------------------HU1.1------------- ---------- _County <br />---_----------------July H9--- --------------- ig--40 <br />for record Certificate of Award for Application No..... 4.0.n.7.50!wl ------------------ (Old Age Assistance), (Blind Assist- <br />) .......o'clock and .......... -.....minutes ...P..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 68-413 Com. St. Supp., 1939. and 2 Jan 940 <br />Book 1 Page 154 <br />Signed - ---- ---- ---------- <br />------------- --- <br />Register of Deeds <br />