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DA - <br />Rev. 7 B <br />NERASKA <br />Rev. 7-6b DEPARTMENT OF PUBLIC WELFARE <br />Certificate of Award <br />Aid to the Aged, Blind or Disabled <br />-•.. <br />HH No....---.....•ito rjl • 1% .:.........::.... <br />Name .....:......... tTi:rr;......a'. 2dr'ed........ <br />_...... _.._.........._................................... Age .... 62., <br />Address ......... 221T 1--cat-1f3ltl..:....................:....-........-.....: <br />City ............... . ................ _...--..SS No..... 10ja..(zP0 0 <br />County ........... liq................................................Original Payment $ .... /11.V -O. ........ Date ........0-1-f0.:. <br />Legal description of real estate owned by recipient: <br />GO Lot 70 :flock 8,0 i) ll and ITUSton Ad:4 Grand IuUn.,i <br />(B) 1'rot 80 D100k 8o MIZ and Iluatcn Add. Grano. IoUnd <br />.................................................................................... <br />Sigmiture o[ Pnyce Slate Director �j <br />_.... _., /,3 <br />004079 <br />State of Nebraska j <br />County of Hall r <br />Entered on Numerical Index and filed <br />`. <br />for record in Office of Register of <br />'Y 3�N f65 Deeds on the --- th ______- day of <br />Nov_Noy_e ----K _-- 19 65.._ at __9_----- <br />1,1 o'clock ,and ___3Q . --minutes ---A.M. <br />STAT670Mo iBB A9kA� ss and recorded in Book __ ____:__ of <br />�YtfIY - Cts. _ai=_9 pi a --- <br />------- <br />ell <br />--- <br />ose arm j.acp�sEn; _ -- <br />Reg, D"da - - -' - -- ------ <br />of (/ Register Deeds <br />y---- ---------- <br />no char a Deputy <br />Fees $----__�' <br />1. <br />rlpt <br />.; <br />,rc yr a <br />y •5'nr: <br />tiff'[• <br />r�" <br />