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DA -7A NMRASKA <br />DIVISIONoF PuBLI10 WELFARE <br />Certificate of Aidard. <br />Old -Age Assistance or. Blind � Assistance <br />hrdKmisn.Mildenstein, Gd Type of Aid .... * OIX ** AGE ­ A * S * S * IS * TAI * C , E ... ...... <br />...................................... Age ...... U ....... KH NO.AptAAN ... 4 1.......... <br />Name ..... ............ . ... .. <br />NebraskaCounly Hall <br />Address.AQ9..E* 18to G"X!L!A nd# ..................... 7. ...._58 ...................................... <br />... ** .... * ... * ­ �.60 <br />OriginalPayment ............................................................................. Date ............. .................................................. <br />Old Age Assistance: Legal description of real estate owned by recipient: <br />r1st 31 Block 94, Oriminal lo-.vn of Grand loand, Hall, Febraska <br />L <br />cc <br />Signaturo of i�.to <br />Et.ate of Mebraska ss <br />of <br />filed <br />lndlr�x and <br />L'. jNumcrica <br />mfr I. C'T, <br />1- ccll'- 6n ,c -------- d'y CE <br />ZCS <br />and U -0k _? ---------- of <br />6 <br />---------- - <br />p,cgir,� it—of. Deeds <br />E:1------------ * ------ 4 ----------- <br />Deputv <br />