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002-369
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Last modified
7/8/2017 6:52:56 PM
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7/3/2017 12:14:44 PM
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002-369
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DA -7A NEBRASKA <br />DIVISION OF PUBLIC WELFARE <br />Certificate of <br />Old `Age :,Assistance or Blind --Assistance <br />Type of f Aid. <br />....... ...........! ....... . ... * � A- * .... - <br />Name.... M I U1 I A M ........... ............................................. A .... ............ HH No. M ., .....P...Cd........1.......... <br />AkI—c 9 114 K. P1210 artuid IaIand.___Xebr&...C6untv ........... Pifer . . .................................... <br />OriginalPayment ........ W.180 ................................. ; ................... Oate ......................... ........................................ <br />Old Age Assistance: Legal description of real estate owned by recipient: <br />North 66 ft. of South 166 ft. of Mock .259 of the, subdivision of <br />W� of the SF-'� of Section 10 1 Township Ils No. Range 9j,' We of 6th <br />.'j%, Hall Coqpjo Ifebreakas 9S4 N. Cherry. <br />vU <br />......... 44k-�,.... ........................................................... <br />.................. <br />........ Sir . 2 . j aturt of Payee State Director <br />State of Nebrasha <br />IIS <br />C,:U:,-.iY ". <br />or all <br />En,:r,xl on i ur.=�7;cal index and filed <br />for rccorcl it Cfficc cf Rc.-uls'_-cr of <br />on aim _3.Q -- --- day of <br />January------ -1:60.--- at _9--, <br />o'clock azn_! -.Q.O,- __ minutes <br />aud iccurcled in Scoic -2 --------- of <br />L49-- Z-1- <br />Ac-�,steof Deeds <br />BY-------------------------------- <br />Deputy <br />Fee, $__NQ --- Upxge <br />
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