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DA -7A NEBRASKA <br />Rev. 7-65 DEPARTMENT OF PUBLIQ WELFARE <br />Certificatc of Award <br />Aid'to the Agcd, Blind or Disabled <br />ua333l-;t1 <br />NNNo .................................................... <br />Name...................... wSI,!"is i1:+(cel.................................................................................................Age.... M.. <br />Address.' (Qt? I3•.. . . <br />.................................... <br />City ....... .................(,?�'and................... I alsnd►....3ebr............................. SS <br />County...................�j�.......................................Original Payment S ........ 0!!�....... Date .....g.:.Y�.................. <br />Legal description of real estate owned by recipient: <br />I.ot 7,9 Blk. W rvanei Add-, to the City of Oxnnd xfsland, <br />Hall Co.,, ?Tebr. <br />.... <br />Signature or Payee �� Slate Director <br />003900 <br />State of Nebraskot l S6 <br />County of Hail <br />Entered on Nwnerical Index and filed <br />of <br />for record in isffic 28thneg2 ay of <br />C Deeds on the at .- <br />OCT Z8 2 06 PH '65 October _-. 19 65 Pavt <br />o'clock and .. O6 m:nutea _. <br />sr�.r R r+eaLts�c 3. <br />oU " H LL and recorded in 13oott ° <br />tf, _of_ A�eI�S a PRC E AIN <br />afi 9 <br />of OOgde ;�e:'r}, <br />------------------ <br />r--- ----------- <br />- <br />.� <br />