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002-302
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Last modified
7/8/2017 6:51:23 PM
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7/3/2017 12:13:43 PM
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002-302
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DA -7A NEBRASKA <br />BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />CERTIFICATE OF AWARD <br />OLD AGE ASSISTANCE OR BLIND ASSISTANCE' <br />Type of Aid ................ MAGO-A "13tM10e-..---.--•------ <br />Name•.----------- A62— " ......... .......................... Age ......W. ---.HH No.._AO+IIIS3�1 <br />Address County........... Uk 1----------•----------------- <br />�i+orObV&SW---------•- - ; <br />OriginPayment.....- AIVA- •- •--------------Date &•Z•$II _ <br />Old Age Assistance: Legal description of real estate owned by recipient: <br />P&r" of too 1t 6 mA 8. Dratt•a ',;1d1t10n <br />to Vj,UW cip flood . ewer. NebravU <br />17 <br />..-=••........:...:...... •----- <br />" <br />-i�-•--•••-----•---•'-"""""'•--"--" oDirector of Asst. and Child Welfare <br />81¢natura f Pam _�. ��___�`._�__._____.--- <br />399 <br />TE COL7NOFTYFi.1i.L S 16' . <br />I hereby 0WHY that thls Meds 9min <br />entered on Numerical Index and t1Ud to <br />-record D <br />&W orrc f -- <br />m nttd recorded in book <br />Reyd,tar n! D.ea. <br />DODUW. <br />
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