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DA- fA' NEBRASKA <br />11 DIVISION OF PUBLIC WELFARE <br />Certificate o f . Award-, <br />Old Age Assistance --or Blind Assistance <br />Type of Aid Old Are Assistahae ..... <br />Name ........... >eaena Afton Age... ....HH No..�x0-AIL <br />. ..... <br />Address ....... Gai...Hebraake............................................County...... Hall.................l...........::............ <br />�?ti. . u-1:... ....................... <br />Original Payment..: :::.....:......................00...............................Date...................:.. <br />Old Age Assistance: legal description of real estate owned by recipient: <br />part SE1,f1mit See. 2h# T. 12# A. 12,, South Loup Tosttshipp <br />Cairo* Nobraska. <br />'��" Pt7ZJ.•�0 <br />Stsnature of Payee Stato Director .. .. <br />e <br />�7 0 <br />State of Nebraska � ;s <br />Couay of '_;all <br />L•tsicrcu on i`t:.:+erical Index and fire <br />fcr secar� t t f Thee of Zegiacr of <br />heeds c:, t::e .. %D - -- day of <br />jZaa�-wBlc� :95� at <br />o'ciccl: r n <br />OS za: ,u�::aar.0'• iii. <br />3 <br />%colt -Z of <br />r aT 3sG_. <br />T'Y- _- x <br />P.el:-ster of Deeds <br />Ey----------- ------------------ <br />Fees $ ,&- <br />Deputy <br />