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DA T7A NEBRASAA <br />DIVISION OF PUBLIC' WELFARE <br />Certificate of Award <br />Old Abe Assistance or Blind Assistance <br />Type of Aid ........... A7,1? ... Aosista.co.......... <br />Name ........... McCnrn, Jrvncs ..................... L ................... <br />Age ....... 77 ..... HH No ...... 0-33 3—Al <br />......................................................... ................................. <br />Address........ s..0 .......County ............... I rM <br />Original Payment ................ <br />............................................................ Date ................. ff4m!).! .................... <br />Old Age Assistance: Legal description of real estate owned by recipient: <br />7/2!f intuerc:-,t, in 171, of ,LTi? r7 :L1j/10/9, !TrLL1 Coijnt;r <br />. . . . . . . . . . . . . . . . . . . . ........ . . . . . . . . ........ . . . . . . . . . ...... . . . . . . .................. <br />SiRrinture of Payee Stnto Director <br />