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DA -q,. NEBRASKA _ <br />BOARD OF CONTROL. <br />DEPAIMIENT OF ASSISTANCE AND CHILD WELFARE <br />I <br />CERTIFICATE OF AWARD <br />OLD AGE ASSISTANCE OR BLIND ASSISTANCE <br />Type of Aid---••- ........ --------- <br />Name ............. } adir•••.TBI-I,rr3n-••-•--••••-•--•-•••-• •Age•---(13------..IIII <br />Address .......... __Grund__1n1nnlCounty......... i::+<ll............................... <br />Original Payment ........ b4Asa-----------------------------•----.Date-.--•--------- --•-•----------------•-- <br />Old Age Assistance: Legal description of real estate owned by recipient: <br />Lott; LA` 1Q -?a g •.i,;=z ,,,� loo'- lb, <br />Eoth's Addillan to City or Grand Island, <br />Tall County, '+o:usica <br />----•---------- -- .......... <br />signature of Payee `� Director of Asst. and Child welfare _ <br />CERTIFICATE OF AWARD <br />r � � <br />• / <br />. �J• ) Vt <br />STATE, OF NEBRASKA <br />i ` 7 <br />f i�• R�, �.L, N <br />i' <br />y ye <br />rs• SRL <br />`i <br />No Charge <br />` <br />.'le if are Office <br />a <br />11, C�,• <br />