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DA -7A NEBRASKA <br />DINI]SION OP PUBLIC WELFARE <br />Certificate of Award <br />Old Age Assistance or Blind Assistance <br />.l'ype of Aid ........... nd-.A,^},9.:._?1ngla an.C.Q................... <br />Name.....__T^n!x_.ror..D�....:.........:............. ..........Age...:__.4�.----•IIII No. X1-32-112_ <br />Address ... 17.1.7-r4..Eh &,X): _.�.lPLr<..�.�!ttxl Iounty............ Ha7........................... <br />Original Payment.- k.NL620....................................... Date ................. ",I r ...-------------------- <br />Old Age Assistance: Legal description of real estate owned by recipient: <br />Lot 105, 1tort Laren dditio, to C ity of GrarA Inlmd <br />0 <br />State of Nebraska i <br />Gusty of Hall t <br />Entered on Numerical Index and filed <br />fat record in Office of Register of <br />D/� s on th- --A -- -------- say of <br />_1J .1111- !-_ ..... <br />at•- <br />eclock and .-_/.Q -. minutes _gam. M.. <br />and recorded in Boole c7r..__-- <br />Of <br />Register of Deeds <br />Fees -- TZ,; <br />