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DA -7A NEBRASKA <br />11-57 DIVISION OF PUBLIC WELFARE MIMNAL <br />Certificate of Award <br />Old Age Assistance or Blind Assistance <br />Typeof Aid ....................... . .................................................................... <br />Name........... ... Luc7 ...................................... ........................ ...Age....73.: ........ UH No-1321.7=-�Z ............. <br />Address....1+11 .... 5t4...':r-ar4 ... Yxl,-4r4.s .... �;jaL�,rv..County ............ 'I <br />.... Elan .................................... <br />OriginalPayment ........... .................................................. Date .................. R=1=0 ............................ <br />Old Age Assistance: Legal description of real estate owned by recipient: <br />Lot 7# Block 36,, L-,T.bortfv Additions Grand Islard. <br />vv <br />.......................... ......................................................... ..................................................................... ............ <br />Signature of Payee State Director <br />3 5 0 <br />Etate of r�rcb7;=,Ux <br />C C a z 0 f a'A <br />E--Zcr--J- on E=cricall <br />for raCOYd ffi GEE'= Of <br />Deed's OU t119 --�rz <br />---- dz)y C4 <br />o'clock arid <br />III <br />and record --d in 2 -col: <br />Register of Vcz!da <br />BY___— — ---------------------- <br />Fees $ Deputy <br />