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DA -7A NEBRASKA <br />9-54 DIVISION OF PUBLIC WELFARE <br />Certificate Pf. Award <br />Old Age Assistance or Blind Assiitance <br />Type of Aid....---...01d..:1_-Anni.. mme.................... <br />11or. nrietta <br />Name ................. ........ . .................................................. Age ...... 65...-..'.-Hh No .... 0 -Oft <br />Address ......... 'Ira nd Island ... County ......... jjJjU ............................... <br />Original Paynien t ......q ....................................Date............., 41?57t ........................ <br />Old Age Assistance: Legal description of real estate owned by recipient: <br />rractiorml lot 3. -lock 2%, In Arnold e. A11Y.,ot-tis <br />Addtt-1. on to ' it7,r o^ r, ra nd Inia P .11all Connt-,r,, <br />Neb--ankh. 7)mmptho i7@: -t 6f. (',r%ctair?rl.-tr <br />plot 60, x 1321) <br />........................ <br />........... <br />Siknature of Payee*' ia-i'a ...Director * *-,,---- * -------------- <br />MariEtta,Mlller <br />,State of Nebraska <br />tate of Nebraska <br />C-unty of 'H'all <br />as <br />Lrteic-d oil Numericai Index and filed <br />for record in C,kfzat of Register of <br />I-i:!eds on the - -9.__------ day of <br />-...November..- 195.k-- t 3-: ------- <br />o'cloc"-. aj-j 10 - rrin-ates -Pt-M- <br />d <br />in "oo'- ---.2 ------ of <br />_qac page dI <br />Register of Deeds <br />By------------ ------------------No - <br />Deputy <br />Fees <br />