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DA -7A <br />Rev. 7-6u <br />NEBRASKA <br />DEPARTMENT OF PUBLIO WELFARE <br />Certificate of Award <br />Aid to the Aged, Blind or Disabled <br />Lc 3670-ai <br />�;'!"I11HAi:rq_ W2 -n- Alsinw HH No...................................................fid. <br />".1 ................................... :........... :.... .:.................. -............................. . ........ •••....................• ••........................... <br />County .................... HaU ........................................ .Payment S.. BTv..M......Date.....9.4 .............. <br />Legal description of real estate owned by recipient: <br />A. Lot 41.0 Belmont Hall Co. City of Grand Islands, Ffebre <br />E. Lot 43a nelmont 1141 Co. City of Grand Islands Nebre <br />.......................................................... .......:...:..........J..... <br />Signature of Payce Slnte Director <br />003902 <br />State of Nebraska <br />County of Hall sa <br />Entered on Numerical Index and filed <br />OCT 28 L 06 s for record in Ufice of Register of <br />65 Deeds on the i?atll__ -- day of <br />October 19 65 . at <br />SJATTi OF NEERA A) SS 06 In,nutea ..1?• . <br />OkfN7y� HAL o'clock and <br />and. recorded in Book __ 3. of <br />ROSL ;j,*1 JA0SEN; r <br />Vag. of D"dr C� Ctf. -na. Axaxds t Pace jl•- <br />Register Deeds <br />By ----------- Deputyuty <br />-------•---- <br />Fees $--n0--o129a <br />