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DA -7A NEBRASKA <br />DIVISION OF PUBLIC WELFAItE <br />Certificate of Award <br />Old Age Assistance or Blind Assistance <br />Type of Aid ............. 011.Aga..Ansiatanca................. <br />Name ...... �Rteinha,gsn,...Alvin............................... Age ...... 72..... I- III No...�'n36T4-Al <br />Address --2221 .W.--$th•." t..t..Grand..Islami...... County ...... ----.Hall . <br />Original Payment ..... $0400..-....... r.,•----• ................. Date ..................................................... <br />Old Age Assistance: Legal description of real estate owned by recipient: <br />Lots h2 and 43, 7elriontp Grana Island, Hall County, ?!ebraska <br />i <br />"� ......f .......... .....................� <.._....._ �":".` <br />Signature Payee <br />of_ / f <br />c: tJtte Director <br />t <br />State of Nebraska <br />County of Hall t M <br />Entered on Numerical Index and filed <br />for record in Office of Register of <br />Leeds on the ___-__�--__-_- day of <br />o' iock and minutes <br />an rrrded in l"scolc <br />.... or <br />ULlrt�s fact �pagc.�_`p�'�4--• <br />Reg+ -sten of Deeds <br />By----- ------------------ <br />Fees �'`itY <br />