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DA -7A NEBRASKA <br />Rev. 7-G5 DEPARTMENT OF PUBLIC WELFARE <br />Cortificatc of Award <br />Aid to the Alert, BMW or Disabled <br />HH No ..... W7n ................... 0." <br />Name .................. 1L, llr.nnr-h 11. .........................................Age.... ... . .. <br />r0 i <br />Address ...............( <br />................ii ............................. .............................�...........9........................................... <br />................ <br />131-nd# .,ebre ...............................SS No.....L............. .................. <br />City ..................................................... Original Payment S....A!... .....Date.....6...................inllCounty ................J..'................................... <br />Legal description of real estate owned by recipient: <br />of Loi;. 5s oroginil tuoti-n of Grand Islands <br />HAI Co. <br />State Director <br />Signature of PRYLIC <br />0 0 3 8 b <br />State. of Nebraska <br />CGunty of fall 36 <br />Entemd an f curnerical Index and filed <br />for record in -.-ffice`,of'register of <br />OCT 2$ 2 os PM '65 Deeds an L' -ie 28th,,-- -- day of <br />October il) 65 <br />OF N101! M so O'cloc!-, and rn,nutes M. <br />d recorded in, Book, 3— of <br />tf_ _pd paig <br />By------------- ------------------ <br />Deputy <br />Fees $-w-.ehg, <br />