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t; 1 <br />W! <br />Y <br />DA -TA NEBRASKA - - <br />Bev. 7-86 DEPARTMENT : OF, PUBIM WELFARE <br />Certificate of Award <br />Aid to the Aged, Blind or Disabled " <br />C4ti]E do>7t1 N. NN No.494AMMI ............................... <br />Name.: ........ <br />............................ Age <br />....... ......... ......... ......... ..-.........................._. g �.... <br />Address ....... 21U U..Pw4- hood ...................:......:.................................................................................. <br />CO .............Rind.. M183 d#--Bebrinks.-------=..........--------...SS No ...... 71h.WP 11 ....................... <br />County ......... lief,2....................................................Original , Payment $ ....... 22sOD..Date....... Sir16............ <br />Legal description of real estate owned by recipient: <br />L"a 12e 13* & Us dock h; Pleasant Hill Addition to <br />the City of Orand IdUnds' Hail Coos Nebraska <br />Sisnature of Payee / ;i State Director <br />038'78 <br />OCT Z8 Z 04 <br />hT� og NEER 89 <br />State of Nebraska <br />County of rr- all sa <br />Entered on N*utnerical Index and filed <br />for record in L ffice of Register of <br />Deeda on the 28th__ _ . day of <br />_ October 19 65. __ <br />o'clock ana . G(1 minutes _ Pt__M. <br />and recorded in Book __ _ of <br />r - <br />w at age._ <br />Register ofG eeds <br />y -----------Deputy------------ <br />Fees $-n°— qh9 <br />