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DA -7A <br />Rev. 7-65 NEBRASKA <br />DEPARTMENT OF PUBLIC WELFARE <br />Certificate of Award <br />Aid to the Aged, Blind or Disabled <br />I HH No ........ ItO--r)15*,)—A2 <br />Name.................. I.Mria ................................................... <br />............ Y1 .......................... <br />Address.. ph'p� ::lest irco n il"Yo ........................................................ Age ....... Z3 <br />............. <br />City.. i i d IS— In, * fi­d's ..... �1 ... I ........................................................................................................... <br />­­­­*­*­ IT— c )r* ............. : ..... SS tt5 ... 60 ................... - <br />County ................... du ............. <br />. ....................... .................... Original Payment S .......... * ........... Date ....... <br />Legal description of real estate owned by recipient: <br />Lots 8 � 91, M 21, i-Iest; -';1b-d1vi13i0n2 Grnnd 1_,LirV1 9 Mcbr. <br />......... 1.i................................... <br />............... <br />Signature o[ I'nyee <br />li Statte Director <br />State of Nebraska <br />County of I -all 99 <br />Entered on f­urnerical Index.and filed <br />for record in ff;ce of hegister of <br />QCT 16 2 oG PH '65 Deeds on the Ath _. .- day of <br />October ni65 at -Z -., <br />— ------------ <br />4Atf Nroq�- o'clock and ..D6. minutes ..P-. 1M. <br />LL Se <br />and recorded -4n. Book of <br />4 rto I <br />0 Ctf. f AwarcLs f -- <br />,$F ANN JAC EN.- a page/ ----4 --------- <br />*f D&Oda <br />7 --Register�D�eeds <br />By--------- •----------------- - <br />Deputy <br />Fe,. $_R0__ShSt <br />