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Form D A—Revised 7-44 33149-TIIE AUGUSTINE CO. GRAND ISLAND. NEBR. <br />CERTIFICATE OF AWARD <br />Type of Aid.......Old. Ade .Assistance <br />Name of Payee .................... WU.7, I -a -m$ W.* ............. Age... ........... 65 ........... Number .......�: =5-A�............. _......... <br />Address ............ Charles...&...Blain. St. Grand ............................ County................. Hai..l...................................................... <br />Nebraska <br />Original Grant $.........32 SS ..................................... _................... 2...7............1-4-6... <br />.........................-----.............................Date....................................................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 />Lots 1, 2, 7 & 8, Block 5, Gladstone <br />Addition to Grand Island, Hall County, Ne r. <br />Walter W. Williams <br />Signature of Payee <br />Neil C. Vandemoer <br />of Assistance and Child Welfare <br />Filed for record this 18 day of October, 1947, at 8:00 o1clock A.M <br />36 Register of Deeds <br />