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DA -7A NEBRASIGI <br />9-54 DIVISION OF PUBLIC WELFARE <br />Certificate of Award <br />Old Age- Assistance or -Blind Assistance <br />Type of Aid -------ti1d '1 © Anisirtrtneo <br />Name ........... T-"ioha%eida ................................ Age .... :.72 ..... HH No ..... -- "l..�-!�i. <br />Address ._...._ =outs 3a. Casifd:IslaTri� lrebr�----.County-........n_rrict----------•------•••---- <br />Original Payment..------- !W0• ................................ Date .............. f?.! •55 ....................... <br />Age Assistance: Legal description of real estate owned by recipient: <br />'Dot, 10v nlock 59 Valley view SubdiV,sion,, <br />^rani Ialandi, Hall County,, !lebraeka <br />oC�COM <br />LM <br />D <br />IR, <br />OCT 5 55 <br />Signature of Payee State Director <br />Stag of Nebraska 1 ss <br />'She <br />�;T County f G�,ftire <br />f led for record i <br />of said '' i,, , he -------- -----•-r-......•- <br />........ <br />day of ,.LL" � nd <br />o,clock and ......3 0....M_',jiles ..... ������ <br />recorded in Book ..__. ------ <br />on <br />---- of :... <br />o n e <br />�- ��ib4,/ `- �_.�/rte � _ -� '\ � .• ✓..J� <br />jz�. <br />