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I Form D A—Reviscd 7-44 33149—THEAUGUSTINE CO. GRAND ISLAND. NED R. <br />UhX1:1kvJLUA'-Uh U -F A W AnV <br />No. 7 <br />Type of!!Aid ........... 0 .1 A Ag.e .... Azaj-s.kanae ....................... <br />Name of Payee......_Ch.-9.Rdlgr . . ..... .................................. Age ....................6.6 Number ...... 4.o 116..'=A1........................................ <br />Address ........... 421 . ..... 3 ....................................................... <br />Iqland . ...... N.ehr,� .............................. . .......... .. County ............... 132, <br />OriginalGrant $....3.7,1.5................................................................................................................. Date ................ 9=1.=4.5j.................._ ---.............XX.......... I <br />NAME OF CHILDREN FOR WHOM ASSISTANCE IS GRANTED BIRTH DATE RELATIONSHIP TO PAYEE <br />(Will be filled in only If used as certificate for children securing aid for dependent <br />children.) <br />i�t'Lot .1, Block ..70,' Original Town of Grand Isla a, <br />Hall County, fiebr. <br />Emma B. Chandler Neil (11, --Vq-,nt9t-mnPr <br />Signature of Payee Director of Assistance and Child Welfare <br />Filed for record the 18 aay of Oct. 1947 at 8 o'clock A. <br />74. <br />