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Last modified
7/8/2017 6:49:30 PM
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7/3/2017 12:06:44 PM
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002-055
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i <br />Form D A—Revised 7-44 33149-TIIE AUG USTI HE CO. G RAND ISLAND. NEBR. <br />� I <br />CERTIFICATE OF AWARD No. 5 5 <br />Type of Aid....... 02 a....Ag.e Aa .qla.1 ae......................... <br />Name of Payee.............PIN ELL,..... h ' S....... Ethel .................... Age.......... E5. .............. Number........... �.-,8.53=A.2................................. <br />Address.................21.7......W....... 9111.... Sl....r..... Grand....I.s.land..........----••--•------.............._.County..............H.all......................................................... <br />Original Grant $• 2...75 Date ............. .-1-?{ ...................................... 19............ <br />NAME OF CHILDRE10 FOR WHOM ASSISTANCE IS GRANTED BIRTH DATE RELATIONSHIP TO PAYEE <br />i <br />(Will be filled in only If used as certificate for children securing aid for dependent <br />children.) <br />Lot 4, Block 5, . Russel 1�heeler Addition <br />to City of Grand Island, Hall. County, Neb . <br />Signature of Payee - Director of Assistance and Child Welfare <br />�j <br />Filed for record the 18 day of October, 1947 at g o' clock A..:I L/✓ <br />Register of, Dee s <br />55• <br />
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