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RASKA <br />DA -7A DIVISION OAF PUBLIC, WELFARE <br />Certificate of Award - <br />Olde -Age--Assistance -or Blind -Assistance <br />_. _ 03,Q .t. -e Assistance <br />Type of Aid ..... ...... ..M........... . <br />Name ..... Lee* ..1.O1T?411................... :...........................................Age'...Z�......... HH No.. 0-1 71}-A2......... <br />Address..lt22...1f a..1U#...4�'NUld...IO2ALtldo...�e)t:ra.......County..........................film......................... <br />OriginalPayment .................... WOW .......................................... Date ---..........................1!tj...f?Q.................... <br />Old Age Assistance: legal description of real estate owned by recipient: <br />NJ 144 1, Block 36, Original Tom of Orand Island, <br />l..�tf'c...................................................— ��.�...�...... a? -....... <br />...7 ..........Signaaye�� ......... <br />Signature of Payea Stato Director <br />UE <br />;.rate of F. b -,ells t <br />j Cs <br />ILrtcscc ca l.us: a"d filed <br />fc: roz—orc? in -, .pica c Z _�iztcr of <br />Lcc�: con Lna ----8/� ___ — day of <br />=J.0! _ a. --A -- - <br />o'cicc c : n_I--A5_--- 3ulutez <br />and rccc �_'acl in co; ____2 ------ of <br />Ctf ___of_ Aw,qXd6 pa a. b_G _a <br />Reu,i '-4'.— of Deeds <br />By ------ -----�eyury-�.—-- ----- <br />Feu $.__Nn....Marge <br />