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D( NEBRASKA <br />A -7A <br />"6 DIVISION OF PIIBLIO WELFARE <br />Certificate of Award <br />Old Age Assistance or Blind Assistance <br />Type •of Aid Old Are --:assistance ............................ <br />Name.......................................................Age.......7Q.....HH No .... i0-4? �1—.A.? ..... <br />y .............. • .......... <br />Address.......r:ct.0.3....: 9�... O..:X:1�sr� ............................ Count h ........................... <br />OriginalPayment. ... .M.h-0•........................................................ Date ................. ll—.1.:56............---........_..... <br />Old Age Assistance: legal description of real estate owned by recipient: <br />El o_' Lob 11 and al'L o� Lot 123P 71 ock A, is t Addition <br />to { oo i�r�r, Hall.Caunty'! ?iebra^ka <br />........................t <br />. <br />r,. ........:.. ... ...... <br />Signature <br />...... <br />... i" Director <br />Signnture of P'aSro v�- <br />Efate of Nebraska 1 <br />County of fial'► ( ca <br />Entered on Numerical Index and filed <br />for record in Office of '/Remoter of <br />Leeds on ttia ....... day day of <br />- 19..c.!_ at <br />Aoc' -n-j ----- rinutas Q3. -M. <br />and rccorr d in Boole ------- of <br />pixge- <br />Ragi:ter of Deeds <br />By ---,-'. <br />Deputy <br />------ <br />Fees <br />