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002-393
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Last modified
7/8/2017 6:53:29 PM
Creation date
7/3/2017 12:14:46 PM
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002-393
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DA -7A ABRASKA <br />11-57 DIVISION OF PUBLIC WELFARE <br />Certificate of A I �vard <br />Old --Age Assistance or Blind -Assistance <br />Type' of Aid ................. I OA41 <br />............................................. ............................ <br />.................................................... !.Xge ........ 7.7 ..... HH <br />Address... 1)oni� an�*.'i�l ranslka ........... ........ ......... ........ [.County .... �11 ............................................... <br />I.Dale ....... 3=lTn53 ........................................... <br />Original Payment ....... 2... 0 ........................................................... 7 <br />Old Age Assistance: Legal description of real estate owned bay recipient: <br />Lots 5 & 6 -1 Barger's lidditionp Doniphanq Nebraska <br />Id I <br />.................... ...... ..... <br />.............................................................. <br />Si a o[ PnYeo [ <br />State Director <br />01 <br />State of Nebraska <br />Ccunly of 1 -fall ss <br />Enccrcd on Pumcrical I-,3dcx and filed <br />far reccrd in UfiC2 or' Register of <br />Eccr7n ca '.-I'c ------18th-_I day cf <br />.------- <br />---- March-------- 10--- L a <br />_._20..__minutcs At -M. <br />and vecc;,-ded in Ecok --.2-1 ------- of <br />Ctf.--of-M-iards at paglP 393 <br />----------------- <br />01 -b-'eds <br />By----------Deput--------- <br />no ch y <br />Fees <br />
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