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DA -7A_ NEBRASKA <br />Rev: 745 DEPARTMENT OF PUBLIC WELFARE <br />Certificate of Award <br />Aid to the Aged, Blind or Diaabled <br />HH No...40.4i!1.nm l ............................. <br />Name....}3'Ji CxTMA..*. !%MT7...AF.........................................................._...................................Age.....v.. <br />Address. t.R!.. �... <br />............................................................................................................................................... <br />city ...... .C`rnr.�..:' �Iand.........................................................:.....SS No.. `?f rS1?1? 13.......................... <br />County..'�..........................................................Original Payment $16.4 ........ Date'?T.1-65....... <br />............ <br />Legal desc iption of real estate owned by recipient: <br />bate f 2 is 711ke 1# Daum Md- Ginn to (lat; o.0 ; mml Ticla!)dp <br />Ft;11 Cauntyo Nebrnaka. <br />--------- Signature or Payee <br />-a Slnte hector <br />O0390a <br />State of Nebraska <br />County of Hall <br />sa <br />Entered on Numerical Index and filed <br />for record in Office of Register of <br />OCT Z8 L 06 GM '65 Leeds on the . 28th-..-- day of <br />October . 19 65-. at T'_ <br />_ 2----- <br />i3TATa F�tJZSRAndclock and . 6 miDutea p _...1VI. <br />oand recorded in Hoot= . 3--- of <br />es Arirt ��coesetl; Ctf._of. Awards n pag <br />o <br />___._.. <br />f Oeeds U _ _ <br />(� Register f Deeds <br />By------------ ------------------ <br />Deputy <br />Fees $--- m-chg• <br />