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DA -7A NEBRASKA <br />Rev. 7-65 DEPARTMENT OF PUBLIC WELFARE <br />Certificate of Award <br />Aid to the Aged, Blind or Disabled <br />HH No.lo-3.715-pa ............................. <br />Name ..... Cii-kIV-1�'..Uoyd Fig .............Age.........:. 6 <br />................. V ........................................................................................................... <br />Address..... ................. ....................................................................................................... <br />"707-09-9M6 ............ ........ <br />GraM Irilmdq ................................ SS N <br />City ............ I . lial. ........................ .......... ................ 5 <br />County ....................................................................... Original Payment .................... Date ... ....... <br />Legal description of real estate owned by recipient: <br />1-611; 4a Dlk. 3# Voitlele Addition to City of <br />Grand Island# Hall Coot Ilebra" (contract) <br />........................................................................ Stnte Director 7 <br />Signature of Payee A <br />State of Nebraska <br />County of H 11 ss <br />Entered on Numerical Index and filed <br />UC 05- for record in (,,ff,.'Ce of Register of <br />Leeds the 28th -- d <br />Uer 65--' ay of <br />31 = OF NSSR at ---------- <br />g" <br />Oij <br />SS o'clock an'.1 05 minutes P! _.M. <br />TY HAL <br />and recorded in Dc6k <br />of <br />FZCS <br />7' RCSE-: AN?J J,ACVASEM: Ctf. of -Awards <br />ngfj. of D"du ------------ <br />. Deeds <br />: <br />... . .. .... <br />Register f Deeedd <br />s. <br />By------------ ------------------ <br />Fees $-XA I Deputy <br />