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DA -7A NEBItASI{A <br />11-67 . , DIVISION OF PUBLIO WELFARE a <br />Certificate .of Award <br />Old --Age -Assistance or .- Blind - Assistance _ <br />TYPe of Aid <br />Name . HO�(SF ls..£�iall'1�til» Age:.. :HH No ;j 91- - <br />Original Payment ...... WNW ........................ 11KI131i4-11ea.uare........ ir-...—.rte...... ............... <br />_.._._.._.._ <br />Old Age Assistance: legal .description of real estate owned by recipient: <br />Part of sat of . -94 of sectim 21, Ren89 us Tract 66 ft* <br />by 165 ft.t Nall COUrAY6 ,1 <br />y 41, � it <br />z . . .. ........... <br />..... ... <br />.. <br />�:-•••••:•vim•State Director <br />Sfcnatureof Payee. <br />�U ) <br />State of Nebraska <br />County of Fall � , <br />ss <br />Entered on Numerical Index and filed <br />for record in Gffice of Register of <br />Deeds on the -----11th -- <br />d�y of <br />March lg b3_- at ---------- <br />------------ -------- <br />o'clock and ---30---- minutes _ _ L <br />and recorded in Book ___------- of <br />Ctf. _ of Awa- rds _ at page_ <br />`j��•`R-egister of eeds <br />By--------- ----- ------ <br />no chg. Deputy <br />Fees $---------- . - <br />