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003-042
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Last modified
7/8/2017 6:54:33 PM
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7/3/2017 12:18:10 PM
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003-042
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DA -7A NEBRASKA <br />Rev. 7-55 DEPARTMENT OF PUBLIC WELFARE <br />Certificate of Award <br />Aid to the Aged, Bliiid or Disabled <br />HH No......LU- ;kC,,' i? .......................... <br />Name...............f9Ci,l ii:..;nt;a.......................................................... .................................... Age ..7`?.... <br />Address........... 1005 ?. 'hot nlr ...................... <br />City.............• -•-- i;- ---....run.cl....... Y lrind� .'.............................................. SS No ................................ --............................ <br />County )t'u..............................................Original Payment 5110.th'7....... Date...-1"G��.................. <br />Legal description of real estate owned by recipient: <br />Lot los Blh 5, valley view Sub-Mvisions beitig n part of <br />the 7:, of. :fE " of Sec. 2P, -,,wp. 11 IIs P.anga 9 :lest; of the <br />6th Y.pi.s Mall Counkys Ne"me <br />............................................ <br />....................................................... <br />Signature or Payee X, ,/ State Director <br />0038'93 <br />State of Nebraska t <br />ss <br />County of Mall <br />Entered on Numerical Index and filed <br />for record in t_ff;ce of aegister of <br />Gdthe 28th _- day of <br />OCT Z8 2 05 PM '65 <br />Deeds t e.. 29' 65 at .-2---..-- <br />STA f o' NEB o'clock and .05. minutes .Fe. 1M: <br />F ) Sa and recorded in Po k _ 3. of <br />eR E Aur JA EN; tf�_�i ds " t age2-..' uWds <br />J Revis of Deeds <br />By------------ ------------------ <br />Deputy <br />Fees $AR-•- <br />
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