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{ <br />Trans • Prom r u <br />D/: •7A NEBRASKA <br />11-57 DIVISION OF YUBLIO WELFARE <br />Certificate of At drd <br />Old -Age Assistance or -Blind Assistance <br />TYPe of Aid <br />onA <br />Name.....7�.'.�� 1'.` ��aa-.?:z'�....ITil................. ........Age...65..... NN No.. .......... ; <br />Address..:?lh.. ",.u...,6th, .f. rarid.Ja1=c4..„Labr......County............1i.1.................................... _. <br />Original Payment ...........r:.5...t... .Date .............. 11-1—G1 <br />Old Age; Assistance: legal description of real estate owned by recipient: <br />Lot 6, Blook 10,, Lambert's Addition to Grand Ielandq Uebraeka. <br />'�i ti . ..................................................... ...................... <br />Signature of PaYco _ G [ �1 State Director <br />386 <br />State of Nebraska s <br />County of Hall <br />Entered on Numerical Index and filed <br />for record in Office of Register of <br />DdD u e--- day of <br />at <br />o'clock and --'Minutes <br />and recorded in Book _Z -------- <br />----. of <br />T <br />page --- -- <br />Register of Deeds <br />••------------------ <br />Deputy <br />Fees $--04 <br />