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DA -7A NEBRASKA <br />Rev. 7-65. DEPARTMENT OF PUBLIC WELFARE <br />Certificate of Award <br />Aid to the Aged, 131bid or Disabled <br />B. HH I <br />......... <br />Age.....::... <br />Name......... <br />. . ......................................................................................................... <br />M ........................... <br />Address.... ............. <br />.... <br />city .................. SS No.. ............... <br />......... ............................... 5' <br />county........:..`....................................................... .. Original. Payment 5 ............... . ...... Date .................................... <br />Legal description of real estate owned by recipient: <br />firznd lula-id,, lit!"bre <br />1", 0 't 13 P11c 70., Or-�-roll <br />............. ......... .................... <br />............................................... ........ ...... -State �Irector <br />Signature of PaYee <br />0038'8 <br />State of Nebraska <br />County of Hall, <br />Entered on Numerical Index and filed <br />for record in C -f fice of - Register of <br />OCT Z8 v1 05 Deeds on the 28th- -- day of <br />------- P.citcib er.. . 19 65. at --2.-. <br />ST V NED SS o'clock and .95 minutes <br />F I L and recordinBoi?k/1-) 3 of <br />C r- A N N�J A B88N; pa <br />de 38 ....... <br />R Ot�ae <br />----------------- <br />R'e-�ist i f Deeds <br />�3�y --------- - ------------------ <br />T,�--u,- <br />Fec--, ,;_no--c11g, <br />