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DA -7A • NEBRASKA <br />DEPARTMENT OF PUBLIC WELFARE <br />Certificate -of Award <br />'Olil'Age Assistance or Blind Assistance <br />Type of Aid ...... <br />...QAA ....... <br />Name..... ROA,Cf{jClara ......... ......... ......... ......-.Age...... ....-.HH No..40- ......................... <br />Address.. 226 Stollo;� Parfi--l4j.9 and-Ielanii.County..hall <br />Original Payment.Zlf!4 19!1 7 ............................Aebr• Dafe..-..1.:1- � <br />..................................................... <br />Old Age Assistance: legal description of real estate owned by recipient: <br />Part of SE -4 of. Sec.. or Lot 21p Toanuhip 11p Lange 9• <br />...........C.. z ............... . <br />Signature of Pnyce - <br />QQ0209 <br />JAN z 1 8 57 QH 's5 <br />ST TE OF NEE3nASKA) <br />JN'r ' �F F L ) SS <br />,& 11 <br />1; Atl!a : <br />Rea. Or penis <br />......................... v ................... <br />Director 17 <br />1 <br />State of Nebraska <br />ss <br />County of IHall <br />Entercd on P;umcrical Index and filed <br />for record in �-1 X or Register of <br />Deeds on tl.e ------- -t - - day of <br />_;__January ----- 10_-65- at - 8------- <br />o'cioc.: and ___57...- rn:nutcs _-AP-M. <br />and rcccrded is rc:: __3 -------- of <br />Ctf, of_A T :pad - --7------• <br />lie�ster Deeds <br />By------------ ------------------ <br />no chg. Deputy <br />Fees $---------- <br />