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DA -7A NEBRASKA <br />Rev. 7-55 DEPARTMENT OF PUB IAC WELFARE <br />Certificate of Award <br />Aid to the Arced, Blind or Disabled <br />HH No....WnR55' <br />-D1 ............................ <br />Name...... L19U R v.�x.4..�........................................................................................................Ages.%....-- <br />Address...... 709....?':.....t rn P,.............................................................................................................................. <br />City...........Gr =rid...Island,..!,,obraglt8..........................:.....SS No...... :. <br />..............:.................... <br />County ....... PAU....................................................Original Payment S... Sone.........Date...10.-I-G5.............. <br />Legal description of real estate owned by recipient: <br />Lot 3, Doak 9 in Jo-uhnck' e Addition to the City of Cr<zncl Island, <br />hall County, ?•;ebrriHkae <br />..................................................................................... ..... <br />Signature of Payee <br />F <br />i <br />003905 <br />State of Nebraska ss <br />County of Hall <br />Entered on Numerical Index and filed <br />for record in Office of register of <br />r28ti�._. __ day of <br />L <br />OCT Z8 06 PM'.65 Deeds October 1965.. at __2__. <br />aT oI Nae o'clock and ..b6 minutes ._.P• • <br />01 <br />and recorded in Book _?1.... of <br />r+ -.p_ of &xysi lint nage.— !1).._--• <br />Deputy <br />Fees $-R0---Qh" <br />