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RMHA <br />eDA-7A _. DIVISION OF�PUBLIO WELFARE <br />.Y� <br />Certificate `. o f Award <br />,. Old Age Assistance or Blind :Assistance <br />Type of Aid--=-----CDA.-lig@--A8Ai8UMM ---------------- <br />Name--------- i Age------ !N.....HH, No.-40„� <br />Address-- iibra�esCounty. ----moi - <br />Original ---- <br />Payment Date - _... <br />Old Age Assistance; Legal description of real estate owned by recipient: <br />Lots 3 and h taock 4o oideon'a Addition, <br />DorAphan, TaliC ountys Nebraeft <br />i <br />- <br />'.Fa sta�e'Pirector <br />' <br />Signature;'of Pnyee � , � - <br />i? <br />r <br />bs� <br />State of Nebraska <br />Caunty of Hall <br />Entered on numerical Index and filed <br />for record in, of Register of <br />Dee& on the ------ dayof <br />at, --- <br />e <br />- <br />eclock and .., 4 _- minutes f <br />and . recorded in' Book--------- <br />o page--- $�-2- <br />-_.114__ j- ------ <br />