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Last modified
7/8/2017 6:48:41 PM
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7/3/2017 12:06:43 PM
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002-011
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i <br />U <br />I Form D A—Revised 7-44 33149—THEAUGUSTINE CO. GRAND ISLAM U-ncuN. <br />CERTIFICATE OF AWARD No. <br />Type of Aid.................Old .Age Assistance........... <br />Name of Payee.........Dyer, .Edith <br />Age....... 6�� ......Number.....................40.-62a = ............................ <br />Address..................... a3 ro.$..._N ebr o...........................................................---........---...............---...........County............-----............Hall......................................... <br />Ori&ai Grant $ ........... 24,.55 ........... _.......... -...........................................................................................Date...................-1.- 5...................................19............ <br />NAME OF CHILDREN FOR WHOM ASSISTANCE IS GRANTED I BIRTH DATE I RELATIONSHIP TO PAYEE <br />(Will be filled in only if used as certificate for children securing aid for dependent <br />children.) <br />Lot 4, Block 4, Third Addition to <br />Cairo, Hall County, Nebr. <br />I <br />Edith Dyer Neil C. Vandemoer <br />Signature of Payee Director of Assistance and Child Welfare <br />Filed for,record this 18 day of October, 1947, at 8. 0 0 <br />'0 <br />100 M. <br />ll Register of Deeds <br />
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