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DA -7A NEBRASKA <br />DIVISION OF PUBLIC WELFARE <br />Certificate: of. Award - <br />Old Age .Assistance or Blind Assistance: <br />Type Type of Aid.: ...... ............ it ...................... ... -------- <br />Name Paabp HArry-Al <br />M W, A" 4 <br />'No -------------------- Age ...... ------_HH No --------- V-5 ............ <br />--------- WaRid Yffv-e-r- - -------- &;iiiik ------- - - <br />Address --------------------- ................. ..County---_:--_: <br />Original Payment ...... FA 12;; 7 <br />- ------------------------------------------------- Date ............................... --------------------- <br />Old Age Assistance: Legal description of real estate owned by recipient: <br />Lots 22S 240 269 28, Jackwain Twp.0 <br />. <br />Poster Subdivisi6no Wood 1 tmr, <br />MAI Countyq,'Te bradka. <br />j <br />------------------------------------------- ------ - ------- ---------- ------------------------------- <br />Signature of ee State Director <br />32.1 <br />9tate,of Nebraska <br />Ceunty of Hall sa <br />Entered on Numerical, Index and filed <br />for record in Cffi ' ce of Register of <br />L,eeds on the day of <br />19 J -S-. at <br />ociock and -.-ora ru:nutes <br />and rF- r*dc in d i Ecok of <br />400, at page 31257—. <br />Register of Deeds <br />-------- ----- ------ <br />Deputy <br />Fees, $ <br />