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DA -7A NEBRASKA <br />Rev. 7-6s, DEPARTMENT OF PUBLIC WELFARE <br />Certificate. of .Award <br />Aid to the Aged, Blind or Disabled <br />HH No......t{0-222Ei—a?-------------------- <br />Name..........CSJail. i3lr,ssche............................................................... .................................... Age .........-.. <br />Address...................................................................................................................................................................... <br />City.............`t U FtiverL..;lebr..--................................:.....SS N <br />County........ ..................................................Original Payment 5.......7.Ii<)....Date.....��ls............... <br />Legal description of real estate owned by recipient: <br />Trot 10, Mk Ito. t: }feat 15'.•0f %ot 11x Hlk 4s. Wood River <br />Vi11aS;ep full Co.+ Nebre <br />.................................................................-----..::.:::....:.. �.. �............... <br />Signature of Payee State Director <br />0039Ia <br />State of Nebraska <br />County of Hall <br />ss <br />Entered on Numerical Index and filed <br />for record in-.ffice of ::egis:er of <br />Deeds on the 28th. .. day of <br />OCT Z 07 PM '65 --------- <br />19 65 at .2 .. <br />o'clock and 07. m nutes . P. Me <br />STAB E ONEBRIAPKA SS and recorded in Look .. 3 of <br />/c6 FFttTT�Yt�l� Gti:..�i_Ard Pflge� <br />egister/o Deed3 <br />By -----------Depu----ty <br />-------------- <br />Fees $-jm-nh&. <br />