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DA -7A NEBRASKA <br />Rev. 7-65 DEPARTMENT OF PUBLIC WELFARE <br />Certificate of Award <br />Aid to the Aged, Blind or Disabled <br />HH No'...10m5492ona ............................ <br />Name....... TMISMS-CbristAM .............................................................................................. Age77 ....... <br />Addre ss.. Pd................................................................................................... <br />City...--..... M-and.181and ...........................................................SS 1`105016.40-2 . ...... .................... <br />County .......... Hall ................................................... Original Payment $..16*00 ...... DatV.445 ..................... <br />Legal description of real estate owned by recipient: <br />a - Me IV, 51 <br />?art of *' 1 1. <br />oi� SIA cW Sace 21p '11- a (�& Tmet, 66 16 is <br />v <br />............ : ....................................................... .... ?:� .............................. j ........................................... <br />Signature of Payee st.%q�) �c <br />0 0 3 1 b <br />State of Nebraska <br />County of Hall <br />Entered on Numerical Index and filed <br />for record in Office of r Register -of <br />OCT ZO 2 07 PP. '65 Deeds on the .. 2$th ------- day of <br />-------- Oetaben.'19. 65. at 2__ ------ <br />OF NEB F a", ) I ' o'clock and .97... minute*'_R2--NL' 7 <br />recorded in -3-=. <br />_* ------ <br />B� ge <br />I H 'LL sa <br />and recorded in Boo -3-�.­-.. of <br />A _dg <br />r3tt.-_�Qf-I 5 age 5 .... <br />RC E NH JA MEN; <br />*RA.11'�=IZ�. <br />R ", . , : ............ <br />of useds (/' <br />---- ---------- ------------ <br />JDY— — -- ---------------- — ------ <br />Fees $._.po _ch&. . Deputy <br />