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Form D A—Revised 7-44 33149-THEAUGUSTINE CO. GRAND ISLAND. NEBR. <br />CERTIFICATE OF AWARD NO. 6 <br />Type of Aia ..... u. -La ... Ag.e As.si.slanc.e..... ....................... <br />Name of Payee....._........... Pur.VIS.1.11...Ethe1..R . ................ Age ............... ......... Number ......... 4.0=21-72:=Al .................................... <br />Address .............. 6.2.3 ... E ...... 12.th ..... Grand Island . . ..... Rehr -4 ................................ . . County ......... Eall ............................................................ <br />originalGrant $ ...............1.7.....9.6 ...................................................................................................... .......... Date .............. 12.=],—.)15. .................................. 19 ............ <br />NAME OF CHILDREN FOR WHOM ASSISTANCE IS GRANTED <br />BIRTH DATE <br />RELATIONSHIP TO PAYEE <br />(Will be filled In only If used as certificate for children securing aid for dependent <br />children.) <br />Lot 3, Capitol Hill, City of Grand Islani <br />Hall County, Nebr. <br />Ethel M. Purvis Neil 01. Vqndpmnp-r <br />A / ' <br />Signature of Payee 1JIFUCLOr UL MSSISLalice arU %.111JU VVCILCL— <br />Filed for record the 18 day of October, 1947 at 9 o1clock A. <br />Registerof <br />63-. <br />