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DA-7ANEBRASKA <br />11-5T„ •' DIVISION OF PUBLIC WELFARE. <br />Certificate of Award <br />Old: Age Assistance or Blind : Assistance <br />__ ..... -..Type ' of Aid,...................... <br />id....... CdA . <br />...�..i- . . .. .............. <br />T_'Af.T__ Rndnlnh Aee-Sh ------------ HH No.....�!..........i8 <br />OriginalPayment .................. ....R00 ............................................... Date .............. !Mt .............................. _.... ........ <br />Old Age Assistance: -legal description of real estate owned by recipient: <br />70 x 142 feet# Lot 3, Blook 86 original Town of Doniphani t:ebraeka <br />(In name of Rudolph and Louise Lade). <br />.......................... ........................ <br />Si ure or Payee Slate Director G/ <br />288 <br />State of Nebraslca s <br />county of _dull <br />0:1 i':ur.icric^l index and riled <br />for rccc <br />rd it cf <br />Deeds o i tl:c _. _.. _- Clay Cf <br />l� co.. at <br />oClaCi: _ . : >>_L- <br />ztn,i rccor"cd :n ::oo : --.. Z.,• of <br />---------- <br />. Deeds - <br />By----------- -- ------------------ <br />Deputy <br />Fees $ M---- <br />