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DA -7A NEBRASKA <br />DEPARTMENT OF PUBLIC WELFARE <br />Certificate of Award <br />Old, -Age Assistance or Blind Assistance. <br />Pe of Aid.' ........... ............................... <br />TY1 —77 7 ........... ....... <br />'-'. Age.. ........... <br />Name .... ......................... .............. . ... <br />Address.1013-21's ... 1—iiili .. ........................................................ <br />Original Payment....... ......... ..............................................Date................................................ <br />Old Age Assistance: Legal description of real estate owned- by recipient: <br />Lots U. l2 13 14 Block .1,, PleasantBill Addition to <br />Grand ISI0 <br />Ball 8ountyi zibbra*a (Tn name or Albin and <br />Vary J. Lindquist) <br />Ignature of Pay <br />.......1.14>-Q..e.7 <br />State Director <br />State of Nebraska <br />j <br />County of Hall - <br />Entered on Numerical Index and filed <br />for record in Office of Register of <br />Deeds on the ---- 171t ----- day of <br />October-______ 19.63-- at .0 -------- <br />o'clock and ... 10 ----- minutes --- &-M. <br />and recorded in Book of <br />page - <br />Rose Ann Jacob.4vA-__— <br />Jtegister o <br />Deputy <br />Fees <br />