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002-307
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Last modified
7/8/2017 6:51:31 PM
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7/3/2017 12:13:44 PM
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002-307
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DA -7A NEBRASKA <br />'BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CIIILD WELFARE <br />CERTIFICATE OF AWARD <br />OLD AGE ASSISTANCE OR BLIND ASSISTANCE <br />Type of Aid --.------- Ol>}-h ha tar�a................... <br />Name ........... Age. <br />-g� I-II- o <br />Address........ Coun£y.. _.__. _- <br />•Sig--Na:-ft2do--3t:�--4rmud--TQ�,", 2Ie?:1...... =....................... <br />OriginalPayment ...... iIBQ:.401.................................... Date ............... U1aft-----------..------------ <br />Old Age Assistance:. Legal description of real estate owned by recipient: <br />Lots 1719192 and 173, Belmont Addition, <br />City of Grand Ieland, Ball C ounty, Hebraeka <br />. ..-./Y...... ` <br />Signature of Payee and Child Welfare <br />"_-.— q—:g- <br />SMATF. Or <br />ii <br />COUN-fy OF ALS' kit. <br />I hereby certify tbnt this hivtr uaent was <br />entered on N-t—erical 'Irdr= and Filed for <br />record thts�_� Ig <br />day <br />onckf_-iA�mIAry~ j8�54 at I 0 <br />a <br />Uie <br />CAr 3� in hook <br />N — ot..k��q .. <br />[trgNbt cr of needs <br />Deputy <br />Few r.-, No Ch e. <br />
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