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DA -7A NEBRASKA <br />.Rev. 7-55 DEPARTMENT OF PUBLIC WELFARE <br />Certificate of Award <br />Aid to 'tile' Arced, Blitid or Disabled <br />HH No......1,.Q!t;091-r!A?............................. <br />Name ..................?{ 'd�liai;�t�':�,... �Jt.Fly ........................................... ................................... Age <br />....! .. <br />Address...............a Q..%'.r... 9.th............................................................................................................................ <br />City.....................Grand Iland...':lebr..........................:.....SS No ..... .G -?.:3631.'.................. <br />County ................ !!, n............................................Original Payment S ..... UAP ..... Date .... 9'1'to ................ <br />Legal description of real estate owned by recipient: <br />a.,ot 7. I31k 10, Bussell i;heeler Addition to Grand <br />Island,, !Lill Co., ?;etre <br />.......................................................... ........... �'.1.............................................-----.......... .�.. <br />Signature of Pnyce J t Slnte Director <br />State of Dlebraska I sa <br />County of t ,aI; <br />Entered 0:1 j umerical index and filed <br />j for record in , ffice of Register of <br />OCT 26 2 o6 PH rs5 Leads on the 28th. .- day of <br />October 19 65at ?_._... _. <br />STAT <br />C F�NreffCMA) SS o clock anti .. minutes Ro_. r'1. <br />GJLL )� <br />and recorded in book ..3 ... of <br />ZO E ArOl rA O6SEN; Ctfs_ _ Ayrax a� page. -145 --- <br />Of <br />_-.. <br />o} dattll� <br />Re isteof Deeds <br />`P/ <br />