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DA -7A NEBRASKA <br />6-56 DIVISION OF PUBLIC WELFARE <br />Certificate of Award <br />Old Age Assistance or Blind Assistance <br />Type of Aid ---.........Pld...! no ... 1 eal t ma ..........................••. <br />Name............. ............................. ......... Age ........M --...HH No.... ........ <br />Address ........::.QCs ....F ,'. =.,tjs1m............................. County ........... Ii3............ :........................... <br />Original Payment. ....... Wjt.Q...................................................... Date ............... 10=1=5 ................................ <br />Old Age Assistance: Legal description of real estate owned by recipient: <br />Fl of Lot 11, an! all o^ Loi; 12, dock A, First Adui.cion <br />to Good River <br />�j ....... •-••••• .. <br />l - S_ignntur_a of P'aYeo _ _.._ 7 - - _ Stato Director '•. <br />tate cE Mc:tirask:+ <br />Cf <br />C:•�u:=tY r, <br />for <br />ani tCc'�:;-�,LL <br />of <br />0AI pa'-::_ 335 <br />(J i:eg-, sty, of L'ccds <br />------------------ <br />DeputY <br />