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DA -7A NEBRASKA <br />Rev. 7-65 DEPARTMENT OF PUBLIC WELFARE <br />Certificate of Award <br />Aid to the Aged, Blind or Disabled <br />HH No..... }40-1.559- .P1 ................... <br />.......... <br />iLic� <br />Name......... NMRtMEInrl - k9 ... 1 ..................................................... .................................... Age <br />'.:ct3t r"icicnix <br />Address..... .. �1:6*... *a* ...... ;pEiF ............................................................................................................ <br />4 �. xn <br />............................ ........................................ SS NIL...c c . ............... <br />City )0 ... P <br />........... ....... ... ............ <br />County........::`.........................................................Original Payment S ....................... Date .... n.............................. <br />Legal description of real estate owned by recipient: <br />J,ot 2 Grand <br />V j Glovor's L,11b-Mvision to City of <br />-Iandj, <br />01 <br />............................................................... .................... ........... 7 ---------- <br />Signature of Payee St to Director <br />0 ­_... ­­ - -- <br />0 0 3 q 0 3 <br />-State of Nebraska <br />County of Hall J <br />d filed <br />Entered on Numerical lncle�c an <br />for record in office of Register of <br />OCT 28 2 06 I'M '65 Deeds on the . .28t -h- -- day of <br />C <br />---- ---- , t9ber.. . 19 65. . at ._ 2-. .. -- <br />6T <br />-ST Of NENR ) M. <br />0 28 - o'clock and ...--06 in-nutes -J, <br />and recorded in Book __ .3 of <br />T—?Fl —I ...... <br />OSC ANN JA 0 14, g e.. <br />V9MI;6 C�d Ctf.2__Qf_AVaR4A at <br />Register ofDeeds <br />By------------ ---eputy--------------- <br />D <br />F,-,, �_no__chg_ <br />