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DA -7A NEBRASKA `~ <br />BOARD OF CONTROL - <br />DEPARTMENT OF'ASSISTANCE AND CHUM WELFARE <br />CERTIFICATE OF AWARD <br />OLD AGE ASSISTANCE OR BLIND ASSISTANCE <br />s Type of Aid--------- C1d _Ape Assistance <br />--- <br />Name--_-------_-?�endt Pett!!. F, Age......._._...HH No I�O!r�11 <br />Address.. -fes -' lith St.�..(`�re Ielatrl_.County �1. <br />Original Payment_:__..... _� <br />t <br />Soo ........... '................. Date ..............��*1r....[i...:---..._------ •--- <br />Old Age Assistance: Legal description of real estate owned by recipient: <br />Lot 3, Plock 99 M bnrt t eAddition to <br />Brand YAlwW,,- Ball County, 2iebraeka <br />signature of Payed Director t Aast. and Child Welfare/r", <br />3 <br />State of Nebraska, <br />C6unty of Hall <br />Entered on Numerical index and filed <br />fer record.in Office•of"RegisterIof <br />Deeds on the ____._�------- -_ dayy of <br />��t/. 19.0-1-_ at <br />o'clock and _:, d---- minutes _Q,_M. <br />and .recorded in Book _�------- ;of <br />__ t page- ._ _ <br />Register ,of Deeds <br />By ---- =---- -------- <br />Deputy <br />Fees $--VA--�� - .. <br />