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" <br />I <br />i <br />Form DA—Revised 7-44 - � <br />33149—THE AUGUSTINE CO. GRAND ISLAIID. NEER. j <br />I <br />CERTIFICATE <br />OF AWARD No. <br />Type of, Aid ......... .01d .... g-e....Asst-stan-oe <br />..........:............ 4 <br />Age ' 1 L ... ... � ..........Number..... :Q.-�-�•55-�1............._.-....................... <br />Name of Payee....-..L''�Q.�T'��Q�.'[F��.,......�'.:��:1��'...I�......................A e..............�..: <br />Address...... 2.2--Q..-1.......14th......... ora ...Island ................................ <br />..........County ............... H-a..ll........................................................ <br />I <br />Original Grant 2.....................................................................................................p.Date..........a:2-:1-42 ..................................... 19............ <br />NAME OF CHILDREN FOR �VHOItif ASSISTANCE IS GRANTED <br />� <br />BIRTH DATE <br />RELATIONSHIP TO PAYEE <br />I <br />(Mil be filled in only If used as certificate for children securing aid for dependent <br />children.) <br />Lots 15 &'16, Block 5, Dill & Huston <br />Addition <br />to Grad <br />Island, Hall <br />County, <br />Nebr. <br />i <br />I <br />I <br />i <br />I <br />lug <br />� <br />i <br />I <br />I <br />I <br />I <br />i <br />, <br />Arthur M Montgomery <br />Signature of Payee <br />Neil C Vandemoer <br />Director of Assistance and Child Welfare <br />I <br />Filed for record the 18 day of October, 1947 At 8 <br />p <br />67. <br />o clock A. M�, � U1 <br />Register of eeds. j <br />