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l <br />U <br />Form D A—Revlscd 7-44 33149—TIIE AUGUSTINE Co. GRAND ISLAND. NEDR. <br />• I <br />CERTIFICATE OF AWARD No.' <br />Type of Aid.............01.E .. Age....A S.S.�..S.ianja.e................... <br />Sclelchardt .John.H. 65 40-1834-A2 <br />Nameof Payee ............. .......................................... x ... ............-----...Age..........-•-••.................Number................................................................._................. <br />200 W. 10 h.... r�....Island,:...Nebre..................................._.Couniy...............H�.11.........._............................................ <br />Address .............. ................................. ......... <br />Original Grant $...21. ... ��.%......... ....Date........ -1-- .......................................19............ <br />NAME OF CHILDREN FOR WHOM ASSISTANCE IS GRANTED I BIRTH DATE <br />(Will be filled in only If used as certificate for children securing aid for dependent <br />children.) <br />Lots 1, 2, 3, &-43 Block 152 <br />Boggs & Hill Addition to Grand Island, <br />Hall County, Nebr. <br />'John Schleichardt <br />Signature of Payee <br />RELATIONSHIP TO PAYEE <br />Neil C. Vandemoer <br />Filed for record this 18 day of October, 1947, at 8:00 o'clock A.M. <br />27 Ttegister of Deeds <br />