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DA -7A NEBRASKA <br />DIVISION OF YUBLIO WELFARE <br />Certificate of Award <br />Old --Age .-Assistance or..'Blind -Assistance <br />TYPe of Aid 0" <br />Name...: H&7ER�...110] L& --.C........ Age �3 HH No �tf}-51tQ2 A2 <br />------- --- .....County .... : .............................................. <br />OriginalPayment ......... 5.e&Vv..................................................... WGIV........ ....................................... <br />Old Age Assistance: legal description of real estate owned by recipient: <br />Lots 5 & 6urger's Addition# Doniphant Nebraska. <br />.... <br />rec . <br />%�w............. Stata DIrector . <br />Signature of Payco r. l <br />1 3 Q <br />State of Nebraska t SS <br />Ccuntyof --all f <br />E: tcred on Nunefccal 1—.dc:c ard�Yl of <br />for rcccrd in L„Icc t l:eo <br />y CE <br />18th ____ a <br />)✓esu on ti:e ----- 6 ----- <br />March _---- 19- 3--- at ---------- <br />------- - <br />o'clo..-_ ant--------- n:nut s __ � <br />in Book __ 2 ---- of <br />and �•eccrc:cd ���_ . <br />idsar S 7 P^fie --- <br />r o -- S -- -- <br />By' Deputy <br />Tees <br />