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Form DA—Revised 7-44 33149—TIIE AUG USTI HE CO. GRAND ISLAND. NEBR. <br />CERTIFICATE OF AWARD <br />No. j <br />i <br />Type of Aid................pld:_Age...Assistance.................. <br />Name of <br />i <br />Payee.......Bixenman:Lax.............................I. <br />......s...Age ...:76.. Number. ............... 44 -2.0.Q3 -Al. ................... <br />Address....... Cairosl a ...................County-............---...Hall................................................ <br />OriginalGrant.....21.n.$Q.......................................................................................................................:.Date...--6•"1-�:�:..........................................19............ <br />Lawrence I. Bixenman <br />Neil C • Vanciemoe_r__ <br />Signature of Payee Director of Assistance and Child Welfare <br />Filed for record this 18 day of October, 197, at •00 oclo-1, A.M. <br />4 Register of Deeds <br />