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DA -7A NEBRASKA <br />Rcv. 7-& DEPARTMENT OF PUBLIC WELFARE <br />Certificate. of. Award <br />Aid to the Aged, Blind or Disabled <br />HH No........ <br />No ..............................I ....................... <br />.................. <br />Name ......... ......111)QUIST4lbin ..Age....... <br />T8 <br />.............. <br />Address ................ ... ................................................. . <br />.................... <br />Grand Island�Nb. <br />City ............. <br />......................................... ! ..... SS N ...... 0 ......... .......... <br />*­­­ifidi ... * ... * 1 97 <br />County ........................................................................ Original Payment $ ..... ......... Date ..................................... <br />Legal description of real estate owned by recipient: <br />A. Lots Us 129 13* 14s, Mk 1, Pleasant Hill Add. <br />I <br />to Grand Islands )!811 CO-, 3ebr- <br />...........................Sign . a . t . tu . re ... of ... F . aye . a ............................ �tate .. Di . r . cc . to . r ...... <br />... 7 <br />State of Nebraska <br />County of Hall <br />Eakired on 1,umerical Index and filed <br />65 for record in Lffce of Register of <br />OCT Z8 2 04 Deeds' wi the 2891.-- dy of <br />tober 6$ <br />—_-------- — 9 .. at ---------- <br />of Mrs 1101 o'clock and 04— .. minutes -P.,--M. <br />and recorded in Book <br />fs AND! JA Ctfs—RLAH5KC-qat na" <br />BY ---- <br />Fees $-R2–ft—t <br />I ------- — — — — — — -- <br />Deputy <br />