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002-367
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Last modified
7/8/2017 6:52:53 PM
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7/3/2017 12:14:44 PM
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DA -7A NEBRASKA <br />DIMION OF PUBLIC WELFAILE FJ"AL <br />Cer4ficate ol-Award <br />Old -Age -Assistance.-or Blind Assistance. <br />Type ofAld .................. A <br />A.* p <br />. . .................. <br />Name .... MATG1 .......... .................. ....................... Age.....67 ....... HH No.. <br />Address .... ... MA <br />7.06181,Mda—mbra ..... county .......................... 3M. <br />Original Payment ............................................................................. Date ............................. I <br />..................................... <br />Old Age Assistance: Legal description of real estate owned by recipient: <br />lot 69 Ellook 199 Original Town of t1rand Taliondo <br />�%�A. <br />.. I .................dl-vSiI.LZ� <br />.......................... :.. ......... ........... <br />State Director 117)) <br />State of Ncbraslca <br />coun'y Gr -, --- <br />illl <br />Entc.-ccl o.t Med <br />fc-, rez-ord il, 01 11Ctzth_j!SLCr Of <br />Dec -'s 0.1 t:,c------- day Cf <br />-Janv.gry ------ 19- 19 ------ <br />oUcc': ar.L] -__0.0---- nunurL�p A. <br />acrdVLCC;!L�ed in-- ------------ Cf <br />Ctf ---o-f--.AWar-da-.t <br />Ey-------------------- — — — — — -- <br />Deputy <br />Fees $-II-Q--ab-arge <br />
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