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DA -7n NEBRASKA <br />Rev. 7-65 DEPARTMENT OF'PUBLIC WELFARE <br />Omit Maxinc —, rovson Certificate of Award <br />504 E,. 10th Aid to the Aged, BMW or Disabled <br />Grand Island, :ieb-r. HH N040 -621a -Al ................................ <br />Address:.... j..,t..<<...!&t21r.................................................................................................................................... <br />City .......... urand..7s andp...ilebranka.................................SS No....................:...............:.................... <br />County ..... Vall .....................................................Original Payment S.Nrine........... Date. 3.(2 1rk,5................ <br />Legal description of real estate owned by recipient: ;2 <br />"st 50 feet Lot 2p Block 67, Whealer Pennett liedition., Grand Island <br />Signature of Payee <br />0 ...... <br />0 0 3 9 5 6 <br />State of Nebraska <br />County of Hall f <br />ss <br />Entered on Numerical Index' and filed <br />for record in '-;ff.*ce of Register of <br />Leeds on the 1St - -- day of <br />Nov 1 8 52 '65 _. Novenber .. n 65-. at _&______- <br />o'ctoc: an„ 52 minutes <br />IRS <br />OF NE9 s ai,d . r fy <br />orded in Book 3- -__:____ of <br />Y NAL Ctf.._D%t p8 e_ .;!29/�k_.-- <br />IN JO,c EN: _ I b.ada �- <br />Registe of Deeds <br />---------- ------------------ <br />no chafe Deputy <br />Fees $---------- <br />