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DA -7A NEBRASKA <br />-"t DIVISION OF PUBLIC WELFARE <br />Certificate of Award <br />Old Age Assistance or Blind Assistance <br />Type of Aid 1%(;C. LSSIS^Ai;CI <br />Name ...... <br />Sncl _oz, ilarti a Age ... 67 IIIc No. 40-350 1,. 2 <br />Address.-.----•YtBod_Rinera-- ietUraa'ca.---------•••-- County..__Hall <br />Original Payment ................ *?4.60 ........................... Date...Yn!T:§5................................... <br />Old Abe Assistance: Le. -al description of real estate owned by recipient: <br />Lot 1, hlook S, Chamberlin's Addition to 1'iood River, full Co., Ilebr. <br />r <br />/JQ1' <br />siadgCJfiC ucc <br />----------------------------------------•----- <br />.. .Sint <br />State of Nebraska <br />County of Hall bs <br />Entered on Cumerical Index and filed <br />for record in Office of Register of <br />Deeds on the ---------- 11-- cay of <br />-•'J-ulx---------- - 19-51- at - <br />o'clock and _-_ LI.. minutes __A!M. <br />and recorded in Book ------ Z ---- of <br />Ctf_.-_ cf_-Atta2-1,4-�-vL&I <br />$page._..2c--: <br />----._ .----- <br />Register of Deeds <br />By----------------------------- <br />o .Charge t8 <br />rees $- :NL_.__c <br />