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DA4& NEBRASKA <br />it -s7 DIVISION OF PUBLIC WELFARE <br />Certificate of Award <br />Olde Age Assistance -or -Blind 'Assistance = <br />Type of Aid Qld "Pe Assistance <br />......... ................. <br />Name...... Y0Va118!?jL . Jst.. �.. Age.7..% ...HN No.�i�i9--A1.......... <br />Address. 2 . ! se...`�thj.Gram . Ielarnl...Nebr,p........County.........Ilan <br />.......................................... <br />Original Payment ...................... 9! ........................................ Date .......... -1:...9 <br />Old Age Assistance: Legal description of real estate owned by recipient: <br />Lots h,, 50 and 60 nock 1 b,v Pleasant 1111.1 Addition,, Grand Ieland, <br />. Nebraska. <br />,.....� f. , ............... C <br />f. Signature of Payeo tntc Director �j <br />State of Nebraska <br />County of I;all ss <br />Enfie •C.3- On i,,t mericaI l:-ce c and filed <br />fo: rz ccru i f =.ce c : egi ;ter cf <br />Dee is ca t :c _ _ .. _ day cf <br />o'c o h rr.ru�cs fr?. <br />and tern,: -;,.s ------ of <br />Gr DeeEz <br />�---�-j-----�vi,Y,y------------ <br />Fees $ <br />U <br />