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Form D A—Revised 7-44 331410 -THE AUGUSTINE CO. GRAND ISLAND. NED R. <br />I I <br />CERTIFICATE OF AWARD No. <br />Type of Aid ....... Cjd....4,�.r.a..AM s a r,... ................... _..... <br />Name of Payee ..... _S Oren s e n,.....Mary ............................. Age........... 69...... Number.........9................................... <br />Address ...... 5.1.7..... w.......14th... qt. ....... Grand...T,slancl.................................................... County...............Hall...................................................... <br />Origi•.................................................Date.............. 12.-1.-�:6............................19............ <br />nal Grant $.......2-.20...................................................................... <br />NAME OF CHILDREN FOR WHOM ASSISTANCE IS GRANTED I BIRTH DATE I 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, Schimmer's Addition, <br />Sity of Grand Island, Hall County, Pebr. <br />Y31 V ar,3 6 <br />Sorensen <br />of Payee <br />Neil C. Vandemoe <br />assistance and Child Welfare <br />Filed for , record this 18 day of October, 1947, at 8:00 o'clock A.M. <br />38 Register of Des <br />