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002-091
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Last modified
7/8/2017 6:50:14 PM
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7/3/2017 12:08:22 PM
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002-091
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Form D A—Revised 7-44 <br />CERTIFICATE OF AWARD No. 9 1 <br />. ... Age .... Asaialgnze ............... <br />Type of Aid. ..................0.1.c <br />Name of Payee ..... . ....... LARGAI\T . . ..... la—chaal .................................. Age ....... 73 .................. Number ............. 4.0=113-0=A1................................ <br />... Nebraska& ................................................................... .. Courlty .............. H111.1 ............................ <br />Address .................. 7,4o.o.d..:R:LV.er.,.. . ..... <br />. . <br />Original Graht $--.....1..5-22........................................................................................................................ Date 3 T, - <br />4P................................. .......... 19 ............ <br />nTSTT]1 VW 'rn-P TUTTMT A.IqTATAMIM Tq GRANTED BIRTH DATE I RELATIONSHIP TO PAYEE <br />(Will be filled In only if used as certificate for children securing aid for dependent <br />children.) <br />Lot 2, Block 16, Bonnie Brae Addition to <br />Grand Island. <br />Signature o Payee Director of Assistance and Child Welfare <br />Filed for record the 7 day of May, 1948 at 2:39 ol.clock P.M.(:;i)� <br />so <br />91". <br />
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