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lel <br />DA -7A NEBRASKA <br />Rev. 7-65. DEPARTMENT OF PUBLIC WELFARE <br />Certificate of Award <br />Aid to the Aged, Blind or Disabled <br />h0-1726-nl <br />HHNo..........................................•.........�Z.. <br />Name ........... <br />..... .................................................................................................. .................................... Age ............ <br />Address.................................................................................................................. ......... , ................... <br />City .............i1qniphan�...4ebr...............................................SS Ng. ..505" X;; 95 <br />:. <br />County........ tall y N;.!; 505" <br />. ............9_1;;65 ............... <br />...................................................Original Payment S.....::..............Date.................................... <br />Legal description of real estate owned by recipient: <br />!A`v 3, Plk 3, Gideon Add. 5o Daniphans j ;ill Co.., i:ebr. <br />............................... .............V,!/r'•... r p.vY <br />............................................................... . ... <br />Signature of Payee State Director <br />003910 <br />State of Nebraska <br />sa <br />County of all <br />Entered on Nurnerical Index and filed <br />for record in office of Register of <br />OCT L 06 P Deeds on the 28t�__ -_ day of <br />October 19 at .�__. ._ <br />STATE 0f N[aRAs (iA) SS o'clock and . �? . m,*nutes ..P! .iV1. <br />QO NN Of HALL ) ��^P.s✓ and recorded in Bookofof <br />RdSC AtiN JACOSS N; (;},fh.Qf_.A512Za.5' t Pa$t 9• -- <br />�._. .. <br />.g of O..ds V �__ _-__.--.- <br />Register0f Deeds <br />$3' ----------- <br />------------ <br />Fees <br />--- -----------Fees $no--Ch',.- <br />