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_ ... <br />DA -7A NEBRASKA <br />DEPARTMENT OF PUBLIO WII.FARE <br />Certif icate,of Award <br />Old; Age -Assistance -or Blind Assistance• <br />Type of Ald <br />Name ...Lgi 8 Age ....:.W HH No�i�►� <br />Address:.:._94?d..�lta'l� Ndbl881ta < Counfy.: . <br />Original Payment..�iGOD............... .......• •---- ----• --Date...... ... ......... .:........._..... <br />Old Age Assistance: Legal description of real estate owned by recipient: <br />Sam <br />East i of S2 of SE—,—, of NW-. Section 20, Township ll, Range 12' <br />......... ...:. . <br />Si¢nnture SGtto "Er r <br />State of Nebraska <br />County of Hall 8° <br />Entered on Numerical Index and filed <br />for record in Office of Register of <br />Deeds 1 the --- ULt------- day of <br />-2- _-- --- 19-91-- at 3 <br />o'clock and —K---- minutes --.Z-M. <br />.M. <br />and recorded in Book -----2_ ...... of <br />Ctf. of Awardsat t ----_ <br />Register Deeds <br />Fees <br />