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DA -7A , NEBRASKA <br />Rev. 7-65 DEPARTMENT OF PUBLIC WELI'ARF. <br />Certificate of Award - <br />Aid to the Arced, Blind or Disabled <br />iiA r"YCF. <br />.......H...H...No.L-5669-)1 <br />.............. <br />*o]d 38 <br />Name........... � 11a ... ................................................. <br />I17.:43tlst.............H�... ................... <br />.Address ........ - and ........-?8 9. <br />City....... .............SS No....................:...... <br />........... <br />County.......................................................................original Payment S ..... 11..0............D ......................... <br />Legal description of real estate owned by recipient: <br />7ractiontl Lot 4 in 1?ih 4 of C1zar1e5 ''.,lsmerts Add, to the <br />City of Grand islandj, complcnentp being fractional Lot 2 <br />in Slock 2.5 of Lrkerla AV. to City of :=nand Inland. . <br />p <br />......... <br />-� <br />Signa ture off...Payee .................... State Director <br />0 0 A 1 <br />State of Nebraska <br />County cf Hall t 86 <br />Entered on Nufnerical Index and filed <br />for record i:, i ff ce ,of Register of <br />c Deeds en the _-. --27th_ day of <br />, 13 61.1 rU� --November-_ 19.6.5 _ at --9------ <br />NOV (5 <br />o'clock ant ---13 .. m!nutes <br />STAT OF NE9RASI(A) 88 and recorded in Ecok-----3-__-_ of <br />QUP. W LL' D Ct-C'-ow,AWaEaSat pa. �Z------ <br />Yr --- <br />ROSE MM JA �USEN: �------_---- <br />A441.orDesdn,'/ �FceoisteYpf Deeds <br />vV By ------------ (---------- --------- <br />no charge Deputy <br />Fees .�----------- <br />