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Rev. <br />R 7 NEBRASKA <br />Rev. 7-65 DEPARTMENT OF PUBLIC WELFARE <br />Certificate of Award <br />Aid to the Aged, Blind or Disabled <br />:•f?kFEti Delia C. HN No........1i0_rj�............................... <br />?-!Z...................... <br />Name .........:................................................................................ <br />r16 '!. 5t c7rror� Age.......75 <br />Address...............�.......:.........'.....:.......:-..................................................................................................... <br />rand Island .lciar <br />City.....................................................i.:.........�.........................:.....SS No ........ .��J�-1�)-1��i.4?-.................... <br />County ................ Ff au .................................... <br />..........Original Payment 5....::r�1.9.......... Date ....... 9:-1r..ft5............. <br />Legal description of real estate owned, by recipient: <br />As Lots 5 & 69 Blk 1,j Pargerts ddes Daniphan., tlobr. <br />........................................................ .... :f ,, '0' j ..4 ..- ° ^ :?? ......../............. <br />Signoturo of Payee� <br />�� 9tnte Director <br />State, of Nebraaka <br />County of Hall - <br />Entered on Numerical Index and filed <br />for record in Gffice of Register of <br />D--e-eds on the --28th---- -- day, of <br />OCT Z8 07 15 -----.October. 19 <br />_- <br />65. at ._2 _..... <br />0/ "12 4l ' $ o'clock and A17. nunutes .P..- �- <br />aw and recorded -in Book 3: of <br />ANN ACO Ctf_.-Af- a page <br />qp} pMds Reg _ . eeda - <br />ister <br />By ----------'Deputy <br />Fees $--nQ--W39. <br />