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DA -7A NEBRASKA <br />e-56 y DIVISION OF PUBLIC WELFARE <br />Certificate of Award <br />Old Age Assistance -or Blind Assistance 2?x�' .•:f:Y, <br />Type of Aid ......... 0.1d ...tAZ:0 . <br />Name ............... S MC,.............-••--•-••....................Age...-74........HH <br />Address........... ........................... County ............... ..:.._........----- <br />Original Payment...:.:.:..ti 2tix2s�...........:........................................Date...............2-1-................................. <br />Old Age Assistance: Legal description of real estate owned by recipient: <br />E? or " ; of Fc,—;l or t.� k, S. 20, T. 11, R. 12 <br />Signature of Iva) -cc '. - State Director <br />State of Nebraska <br />County of Hall � <br />Ente_-ed on 1'Iumerical Index and filed <br />for record. in Office of Register of <br />1) -ds on the ---%----------- day of <br />��L2G"t�'�'�-- <br />o c.oc:l. and <br />and recorded in Seolc szS of <br />4-++-_- at page__.,3 j`f JJ <br />Register of Deeds <br />By------ - ---- <br />-- ------------ <br />Fees Deputy <br />