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DA -7A NEBRASKA <br />11457 DIVISION OF PUBLIC WELFARE <br />Certificate -of Alvard <br />Old A e>Assistance-or Blind: -Assistance , <br />Type of Aid 0 <br />Name ....GASCH09... f s... u7ca Age ...... 76 ..... HH No..,IQ.- IB -A3. <br />Address ... Rte ... ip.. Ravemis...Nebraska ......................... County..Heil.......................................... _.._. <br />Original Payment ......:°.384A*.:...................................................Date......3,--!1m63...::....................................... <br />Old Age Assistance: Legal descrip lion of real estate owned by recipients <br />T;?t of Lot 90 sx, of Lot no All of 1of 1o, Block no South Loup <br />.Original town Cairoo Mebraekae <br />�1'..... ....d :. �/•��} � :. ......... ........: . ..:: � <br />................. <br />Sicnature ofey:. State Director ��^^ <br />State of I'cbraska <br />C.— U °y of -all es <br />ia:cre c� i.t: ua_:cwl !: dex and filed <br />fcr roc -.1 in Cfi ca"cf P.edster of <br />Lei cn f::e ---.2-. clay o <br />19--- - at--tt-SS------- <br />o'c?o__: ant ---- 30--- m:nute2 A, --M. <br />and rcc .ac(1, in Ecokc of <br />Ctf. of AWarQSat awe _��----- <br />r, <br />Register (j(/Deeds <br />By---------------------- --------- <br />Deputy <br />Fees <br />