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7/8/2017 6:50:26 PM
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002-102
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4'. AA/ U- W � <br />Register of Deeds <br />102 <br />i <br />i <br />Form D A—Revised 7-44 <br />33149-TIIE AUGUSTINECO. GRAND ISLAND. NEBR. <br />CERTIFICATE OF <br />AWARD No. 102 <br />Type <br />of Aid. ......Q �d...Age ....T1s.s.istazi.c.e........................................ <br />Name of Payee ........HOMENBERRY,----E1 va... L . .................................... Age -...... <br />6 .................... Number ..................... AQ -.9.7.2.-.A.2................................. <br />Address........-----••----......Poniphan,.--.-Nebraska....................•--.............................---.......---.................County..............---.......Hal <br />Hall .................................................. <br />OriginalGrant x•.00 <br />.......................Date..............................6«h-..44.........................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 />1 <br />I <br />2 i <br />I <br />3. Old Age Assistance: Legal description of real es <br />ate oimed by recipient. <br />4. <br />5. Burgerts Addition, Block 2, Lot 10, Donip <br />an. <br />j 6• <br />I 7• <br />i8. <br />I <br />f <br />i <br />i <br />i <br />I <br />i i <br />I <br />I <br />i <br />Elva L Hockenberry Neil r, il�nipmnar Ana <br />j Signature of Payee Director of Assistance and Child Welfare <br />Filed for record this 14 day of November 1950, at 10:30 otclock A.M. <br />n <br />4'. AA/ U- W � <br />Register of Deeds <br />102 <br />
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