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DA— <br />Rev. 7 NEBRASKA <br />Rev. 7 -Gu DEPARTMENT Or PUBLIC WELFARE <br />i <br />Certificate of Award <br />Aid to the Aged, Blind or Disabled <br />HH No....!t'.:.i 6a—ill <br />iLi , Anna y .................................. <br />Name ................. .:_..............,....................... Age............ <br />�, ....t....,l.. ..................... <br />�rsn :�t1s roe, i_;:..) :, .�crect <br />Address..............:...:........................................................................................................................ <br />City La.ncoln, Lanc�;sLcir, ,.,oar. rpr• r.'-1......................... <br />.....................................................................SS No,..�...��°'`...173�............---..... <br />i;,3? 1 <br />County.. ' <br />....................................................................Original Payment 5....�!�...........Date...9-Z.-55..---------- <br />Legal description bf real estate owned by recipient: <br />Il. Lot 3, »bele 133, Union Pnciric `nd uric. to <br />ornnd Island. <br />.......................................................... <br />Signature or Payee <br />UcrZ8 2- 0o <br />e <br />Director <br />State of Nebraska <br />County of Hall r " <br />Entered on Numerical Index and filed <br />for record in C-ffice of Register of <br />Deeds on the . 28th.... - day of. <br />October 1965.., at2_....._ <br />o'clock and _ minutes 1-t. M. <br />and recorded in Book -3 :. _ of <br />f.-Qf A.W86di)at Page ---R -----• - <br />ter <br />------ ------ <br />Fees <br />no chi. Deputy <br />$------__-- <br />