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002-390
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Last modified
7/8/2017 6:53:25 PM
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7/3/2017 12:14:45 PM
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002-390
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DA -TA NEBRASHA <br />11-37 DIVISION 'OF PUBLIO WELFARE.- <br />Certif irate; of Award <br />Old Age= Assistance vi - <br />................... <br />or Blind Assistance <br />:. %pe of lff� � <br />Name ZAt�D�EiatX ... WHO <br />Address:.... 27h..Na 1Rl.� fr�d Ittt it d - If�� County Ste. <br />...... .... <br />Original PaymenC:..��..l��± .........mete �"� .. ..... <br />0 Age Assistance: legal description` of ,real estate . owned by recipient: <br />f ii 81ook 259 -M24ne dQsli. ai #46 G»d h3ltmd� HMQamf�ys sill <br />Ga 4 1jj(!� G(i'(j�/lr�i�. [! IG(. c �' 1� �� 'C .x/ �—J �r�%t �( <br />/ ., <br />��! t i('"�.:S:rj;.sC% � �c:.�C.--��) ; C,•� � s� �: i�f� . '' I �`j•�`"''l � C . � V V� �'�' <br />, <br />}... 6�; <br />S,i�gnAat re of P ea $tate Dlrnetor <br />M - ig t <br />
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