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Last modified
7/8/2017 6:53:49 PM
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7/3/2017 12:18:09 PM
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003-005
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DA -7A NEBRASKA <br />DEPARTMENT OF PUBLIC WELFARE <br />Certificate o f -Award <br />==Old -Age �Assistance--6tnBlind Assistanc: : . <br />Type of Atd ... <br />Name....V14.4P.s'..'AM 1? .'.G .................. .......• ---- .... Age ....... 75...._.HH No40-4.034 .. <br />Address ... LM..Sr �SYs:.. h!�rrxin...OAs..Neb�,-........... County :.Hau .................................................. <br />OriginalPayment.......A................................. ...................... Date ..... 11-1 ......................................... <br />Old Age Assistance: legal description of real estate owned by recipient: <br />Lot 5. Bloak 9. Packer & Barr'e Addition to the City of Grand Islands <br />Nebraska. <br />..... _........ <br />. S(Snature of Payee State Director Zai <br />State of Nebraska 1 <br />County of. I <all r ss <br />Entered on Numerical Index and filed <br />�0 <br />?� <br />ON, <br />a <br />t <br />Q <br />fcr record in ff:ce cf Register of <br />= <br />` <br />Eleechs on lice 11th _day of <br />- - _- <br />m = <br />a <br />_ January-- 1965 at -3------- <br />> <br />_.�n , <br />O <br />o'clock ant- _30 . minutes __ P._M. <br />ra <br />r <br />r D <br />W <br />and rccerded in Boole of <br />" <br />O <br />Ctf.--nf at p' a _------ -• <br />`N <br />v <br />Cp <br />__ <br />Regist Deeds <br />W ,. <br />of <br />sy--------- ------- <br />Dep----- <br />Fees $_no_eharge uty <br />i <br />
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