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DA -7A NEBRASKA <br />Rev. 7-G5 DEPARTMENT OF PUBWO WELFARE <br />Certificate of Award <br />Aid to the Aged, Blind or Disabled <br />HH No.A ................................ <br />Name..................!31 ................................................ : ... **'*'*'*'*""*'*"************"***"*"*', Age.4.4 ..... <br />Addresi............. W. South ... Oak ........... ......................................................................................................... <br />.... ..... .. <br />Lilmd. Nebre SS No..%.*�! 355.....:..-................ <br />City .................... ............. . ............................................... <br />County ............... ........................................... Original Payment $ ...... WIPPI)ate ........ 2-1-65 <br />Legal description of real estate owned by recipient: <br />!;o. 64t of Tat 5a Blk 94s original t4nm of Grand Islands <br />Hall C.oa, liebro <br />..... ------- <br />i 'i n i i t u re of I a qvc State Director <br />Ot138'9U <br />State of Nebraska <br />County of Hall <br />sa <br />Entered on 1,!umerical Index and filed <br />for record in 'k,ffice,of Reigisterof <br />Deeds an t,".C" 28th. -- day of <br />OCT ZO 2 05 PH 65 _____.-October, is 65, at --2-- <br />/1-) o'clock and .05 minutes At <br />COtSTATE-pF NEBR HALL KA) SS and. recorded in Book�- 3._ i of <br />Ct P <br />--o-C-Avard&?� f4ge 0 <br />1? OSE ;W-4 -JAWSSEN. <br />4 <br />--- ------ - <br />Lf;�- f D 6 odV x" <br />Ret4ster,,of Deeds <br />By----------- ------- <br />beptity <br />Fecs $n9--ehg-,- <br />