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D,. -7A NEBRASKA <br />6-56 _ DIVISION OF PUBLIC WELFARE <br />: Certificate of Award <br />Old Abe Assistance or Blind Assistance <br />Type of Aid ...•••••..- 01d ? r- -• Pt ........................................�'. <br />..:.is <br />Name.-.-..---.f.M.rnu r! '`-!U.ttaa.r,. ........................... Age....:C,"s.-.....NH <br />....... ... <br />Address ....... 0"1! r-1� `'� :taxls�..�e�............Count y <br />.....:: ...-...�.- y----......•--•-; �s?............................... <br />OriginalPayment.....---- ra5,_0.0 ................................................... Date ..................... ........................-.--........ <br />Old Age Assistance: legal description of real estate owned by recipient: <br />1 <br />Tok, 3! ?'lock 111, rvans Acadit.io„, 'Ir=::•,d Tai zu?a <br />fall '3011:it,7r, ''cbraska <br />Signnture of Payee __.',f State Director <br />State of' lqebraslca I <br />County of Bali f <br />Entered on fwfnericL- I:ld'-x and filed <br />for record "in Off of Register of <br />o� on the ___-- day of <br />dcloc'•^ an Y �3. �. rn:nutes _%P_.f�. <br />and roc .:dee ir_ I colt ---- of <br />- ------------- <br />l:cgist�-r r -f Leeds <br />------ <br />By ----------- <br />Depu£y ------------ <br />Fees $--°--�' `�� <br />U <br />