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.DA -7A NEBRASKA- Tran er f roc, Kenrick 0o* <br />1 <br />11-57 DIVISION OF PUBLIC WELFUlf <br />Certificate of Aivard. <br />Old Age Assistance or Blind -Assistance <br />-OAA <br />-Type of �Aid.. .................................................................... .................... <br />...................................................... Age ... !71 .........HH - N 4 06,5192J'k? . ............ <br />Address.lit .. 3 ................ County ............. 11M ....................................... <br />v ... <br />Original Payment ... <br />Date ................ U.!Tlr.a ............................... <br />Old Age Assistance: legal description of real es,fate owned by recipient: <br />Lot o Block 5 Valley View Subdivision -2 being a part of the a E!'-. of <br />10fSection X12p TP 11, Northp Range 91, of 6th P9j, Hall <br />County (Frank & Anne Michalski) <br />...................................................... ............................... ............... ............. ...................................................... <br />Signature of PaYco State Director --7, � <br />State of Nebraska l 9s <br />County of Hall <br />Entered on Numerical Index and f .'ed <br />for record in Office of Register of <br />Deeds on the -------- day of <br />19,1J__ at ----0---- <br />o'clock and .40 <br />minutes __h;_M- <br />and recorded in Book -.,I --------- of <br />dw, Pago <br />Register of Deeds <br />By-------------------- <br />Fee- Deputy <br />V_ <br />