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DA -7A NEBRASKA <br />G -5G ;DIVISION Or, PUBLIO NVFffXARE <br />Certificate of Award <br />Old Age Assistance or Blind Assistance <br />Typeof Aid.......:..T.� * . .............................. <br />Name ..... UCY.....Alicr . .......... . ................................................ Age ....... 74 ...... HH No..AQ!!!14.70.11......... <br />Address...?AA..I?q;!Aih..'iihi:t!Z,p . . .......... County ............ JI.Q2.1 ....................................... <br />OriginalPayment .................. viR.v,.6.Q ............................................ Date ................ 1!!1m5.6 ................................. <br />Old Age Assistance: Legal description of real estate owned by recipient: <br />Lot go block 17*Packor and Barr's Addition, City of Grand Islands <br />Hall County, llebraska* <br />............... <br />Signature of Payee <br />M <br />.............. 7M.V— <br />State Director <br />