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Form D A—Revised 7-44 33149—THE AUGUSTINE CO. GRAND ISLAND. NEBR. <br />AC-IJEURTIFICATE OF AWARD <br />No. � g <br />Type of Aid .........91d....Age...:Aa..,9s.tam.e......................... <br />Name of Payee........ B Paver.$.,.... Mar,Y...Q........... :.........................Age......6.9....----..........Nw-nber........4.0.--X10.-A2......................................... <br />Address .... �U.... Es. ....l3th...Grand _.Island.,.....Nebro........................................_.County.:............... Ha1,l.......... <br />........................................... <br />OriginalGrant $.l4.:49........................................................--....--.--.........................................................Date......•..5-1.-...........................................19............. <br />NAME OF CHILDREN FOR WHOA ASSISTANCE IS GRANTED BIRTH DATE RELATIONSHIP TO PAYEE <br />I <br />i (Will be filled in only if used as certificate for children securing aid for dependent <br />j children.) <br />i I <br />1 i <br />I <br />I <br />Lots 4 and 5, Block 64, Wheeler & Bnnett 2nd Ad ition to Grand <br />Island, Hall County, Nebr. <br />Lj <br />Mary C`. Beavers Nell C. Vandemoer <br />Signature of Payee Director of Assistance and Child Welfare <br />.Filed for record this 18 day of'.October, 1947, at 8:00 ol lock <br />� <br />40 klegister o Deeds <br />t <br />