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F <br />DA -7A NEBRASKA <br />9-54 DIVISION .OF PUBLIC WELFARE <br />Certificate of Aivard <br />" Old Age Assistance or Blind Assistance <br />Type . of Aid------. Old _ Age_ Assistance <br />Name- ....... 5ll3ill�._sfBDI:.-............................. Age.--- 1 -- IiH No...9� . <br />Address .. -.2 1. •..?ttl__ ty. ^r1rA11 ..T.Q141Ad._._.County--------- HM, <br />_ <br />Original Payment $anC?................................. Date ............. <br />8-3��.... <br />Old Age Assistance: Legal description of real estate owned by recipient: <br />Late 5 and 6, Bloch 59 Lanbert's Addition <br />to Grand Island (shard of deceased wife's <br />estate) <br />fj .• <br />ai;a�a:uro ni I':U•er st:dc Dir"dor i <br />State of Nebraska <br />County of Hall j <br />Entered on Numerical Index and filed <br />for record in Office of Register of <br />Deeds on the ....... IA._- day. of <br />19.,. at <br />o'cloctrand =.minutes --�- M• <br />ancl recorded` in Book ... eZi_---- of <br />t�l��t pa s _ - <br />Register of Deeds <br />By -----------Dui•----------. <br />Fe" 4.�._ <br />