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Form D A—Revised 7-44 33149-TIIE AUGUSTINE CO. GRAND ISLAND. NED R. <br />CERTIFICATE OF AWARD No. <br />Type of Aid. ...... 914 ... Age... As. s.1.81anoB .................... . ..... <br />Sorensen3 Carl H. Zo . 4o -234o -Ai <br />Nameof Payee ............................................................................................................ Age ............... !�R ........ Number ..................................... . ............................................ <br />Address ....................... 517 W. 14th St. Grand Island .. ...................... Co 1 <br />......................................................................................................................... unty ........... 4al ............................................................... <br />............................................................................................................................................ Date ........................................................................... 19 ........... <br />Original Grant $ .... 24.20 12-1-46.. <br />NAME OF CHILDREN FOR WHOM AssrSTANCE'IS GRANTED <br />BIRTH DATE <br />RELATIONSHIP TO PAYEE <br />(Will be filled In only it used as certificate for children securing aid for dependent <br />children.) <br />Lot 4. Block 8, Schimmers Addition, <br />City of Grand Island,, Hall County,,. <br />Nebr. <br />Carl H. Sorensen Neil 0- VnndRmnPr <br />Signature ot Payee 1J1ft2L;tU1- UL ftbb1bLCtIIt;t: cUIU %.IWU VV%:1LCL1U <br />Filed for record this 18 day of October, 1947,,"at 8:00 o'clock'A.M. <br />37 Register of Deed <br />