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Last modified
7/8/2017 6:52:30 PM
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7/3/2017 12:14:43 PM
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DA -7A NEBRASKA <br />G-56 'DIVISION OF PUBLIC WELFARE <br />Certificate of, Award <br />Old A, -e Assistance. or - Blind- Assistance;! <br />A G'--, -1. ElS S "t........ TA 7,: <br />Type of Aid...... . () LD .........................T ............................ <br />Name .... F 1. 1171 P. J - I I - I.'a ..119....----.... ........... 7t HH <br />Address.!1296... <br />...........; ............................ ............ County ......... U.11 ............................................ <br />Original Payment .................... 'I 1i .................................. <br />..................... % ...................... Date .......... Zml:n-5 ....... <br />Old Age Assistance: Legal 'description of real estate owned by recipient: <br />Gats 2, 3, 4, and W. 17. ft. of Lot 1, Block 6, AcCall 7e T,ofleuL;'s <br />First Addition to Viood Rivers <br />......................................................• <br />State Director <br />4,1.� . .... ..... <br />Signature of Payee <br />
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