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DA -7A NEBRASKA <br />Rev. 7-65 DEPARTMENT OF PUBLIC WELFARE <br />Certificate of Award <br />Aid to the Arced, Blind or Disabled <br />k...7.,.,� i. <br />. N No .............." 3 7......•••••••........ <br />ie Name......4. <br />......... <br />.. <br />...... Age ............ <br />City urana lz tr-na,...1'epr. .SS No..•-••-••-•--•......:......... .................... Ti...? .................... <br />County .......................................................................Original Payment S....XA............Date� `'5.................. <br />Legal description of real estate owned by recipient: <br />A. Lot l6j b"Ik 5s, BoggE ,"t fill Addes, Crand Island,, ',Jobr. <br />idj <br />.......................................................... ..... ... ........................................................... ..t.. <br />Signature of Payee State Director <br />0.04189 <br />State of Nebraska <br />ser <br />County of <br />Entered on Numerical lnde:c and filed <br />for record inff.`ce f iegister of <br />L'-eeGs on the .. __lUth _- Gay of <br />NOV 5 13 AM 65 -__ November-_.- 19 65: _ at __9_------ <br />o'clock and 13 ... minutes _As-_Pt1. <br />TE 01, N '"'R KA) SS and recorders' in vco1z ___ 3--_____ of <br />C 0 HALL )--- <br />ROSE A1411 JA 11"SEN: _ _ __- <br />Rep. of Duds Fcegister /3eeus <br />By-------------------------- <br />Feesohj L_ge <br />Deputy <br />