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002-379
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Last modified
7/8/2017 6:53:09 PM
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7/3/2017 12:14:45 PM
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002-379
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VA -7A ` NEBRASIr"1 <br />11-57 DIVISION OF PUBLIC WELFARE <br />Certificate of..Atvard <br />Old -Age-•Assistance or Blind -.--Assistance <br />TYPe of Aid OAA <br />...e�-2..........g.!. <br />Name....... ,'lelga$t:::....... <br />Address.:.....��:��.. w....?thy.. <br />WWW... e3 ids �Feb�'y...County...............W .................................... <br />Original Payment ..........�:ph.i...:................................ <br />...........::. Dater ................. 3-1r.61................................ <br />Old Age Assistance: legal description of real estate owned by recipient: <br />Vest 36 ft. of 'forth 99 f s Lot 3,9 Block 29 NaVIS Addition <br />to Grand Island. <br />• <br />....................�{�.. ........ .........•. ... State Director <br />ignawre <br />Sof Payco <br />14 <br />State of hlebranka <br />County of 1 -ah I5a <br />Entered on Itumerical index and filed <br />for record in Gffice of Register of <br />D ed_ on the _:-- -------- day of <br />o'clock- and ---_-.__. minutes <br />and recorded :in Book _�__. ___ of <br />t Page `3 <br />Register of Deeds <br />By __--__----_Deputy-- <br />Fees $---- <br />
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