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DA -7A L _ <br />` p DEPAR <br />Cerfic Y <br />fl'' ' �ll����5��'l*:`=l ` yrs • .y <br />7 � <br />' Y•YMIY^IYYI��.A.fY's���H�'� tL:i <br />-HYYIFa� ,jc - <br />Original Payment.. ,. �.;....,; ._:.. _:_ _ a1@_ �m ., .... ,.»..-.....»:»+ <br />Old -Age Assistance: legat'descri0tioI estate owned by recipient -"A t <br />Mama" WON <br />4 Iwo 40A% <br />.... <br />... Director..—......— <br />8t¢natnre at Payee <br />2274 <br />State of Nebraska 1 <br />County of Mall r 83 <br />Entered on Numerical Index and filed <br />for record in Mee of Register of <br />Deeds on the __.:2_---- day of <br />J ------- 19-63.. at <br />o'clock and _:1II .. _: minutes _A.. -M:' <br />and recorded in Book _ ? . of <br />- ___ Rose Ann. Jagobsen_____ <br />e&ter of Deeds <br />------ -y <br />Deputy <br />Fees $. ------ <br />