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Last modified
7/8/2017 6:48:56 PM
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7/3/2017 12:06:43 PM
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002-021
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i <br />i <br />Form DA—Revised 7-44 33149—TIIEAUGUSTIIIECO.GRAND ISLAND. NEBR. � <br />I <br />l CERTIFICATE OF AWARD No. <br />i <br />Type of Aid.......9ld...Age...Asaistan...... ...................:. <br />i <br />Rounds_...................................................... .......0-2226 Al ...................................... <br />Nameof Payee...........JA..............m.....---......... <br />IAddress ............. Wood...River�.... Nebraska . -..................................................................County.........Hall........-----.._......--------.............................. <br />............................................i <br />Original Grant $.........3.616...................................._............----. Date.�_1-�6.19 ............ <br />itNAME <br />OF CHILDREN FOR WHOM ASSISTANCE IS GRANTED <br />BIRTH DATE <br />RELATIONSHIP TO PAYEE <br />(Will be filled In only if used as certificate for children securing aid for dependent <br />children.) <br />II <br />Lot 10 & -West 15 ft. of Lot 11, Block 42 <br />j <br />Wood River Village, Hall County, Nebr. <br />I <br />i <br />i <br />i <br />I <br />I <br />I <br />i <br />- <br />I <br />I <br />i <br />J. A. Rounds Neil C. Vandemoer <br />Signature of Payee Director of Assistance and Child Welfare , <br />Filed for record this 1� day of October, 1947) at 8:00 o1clock A.M. <br />21 Register of. Deeds <br />
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