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D.1 <br />DIVISION <br />DIVISIO Or PUBLIC NVELFAILE <br />Certificate of Award <br />Old Age Assistance or Blind Assistance . <br />Type of Aid .._... Old A ,e A „ss'isnce <br />Name .......... !Tuchaw,,_ Yax ....................... •---------------. Age ....------.HH No.. ! <br />;; , -;— <br />Address 1x11__ ---------- 145,1115-1-11 St.,Grand T pl�tounty- -- . Ha.L <br />Original Payment ....... ..'O ........................................ Date.---------------tr------------------- <br />Old Age Assistance: Legal description of real estate owned by recipient: <br />Lot 3, Plock 16, ^on.io Drae Addition., <br />Grand Is?aid, Ball CountY, Nebrawta <br />. --- _ n <br />7 *Signature of rr4ee - ttc Director <br />State of Nebraska <br />County of Ball sa <br />P.rltertid on Numerical Index and filed <br />for record in Office of Register of <br />De, -d3 on the ....______ day of <br />at -- - <br />nunulhs <br />and rccarded in Boole ------- -- of <br />° 1 _A<.11'at page! <br />/ '------------------ <br />Regisie' of Deeds <br />By------------------------------ <br />Fees. -�1_¢: Deputy -- <br />