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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'Ho <br />:tu; i?, nther{ne F.e ..... ..........Ag ........... <br />Name....... ....................................... <br />130!7 .V s.....M................................. <br />Address .................... <br />gran't3..i.-:1� j ..�eiir�.................... •�71�.:................... <br />.............. <br />City.................T_..a SS No..........................- <br />..X11.................................................... ............ <br />County Original Payment S.....&�Q.=-.....Date....... D ........................... <br />Legal description of real estate owned by recipient: <br />A. Lot 29 I?? k 6, ?onria a arae Addeo Grand Island. <br />......................................................... <br />Signature of Payee <br />004190 <br />........................................................... <br />State Director <br />State of Nebraska d <br />County.of 1i -all. Zia <br />Entered on i :ume .cal Index and filed <br />for record in Lff:cc cf 1,egiscar of <br />fll� <br />NOV 5 13 .:: 65 <br />Leedr cn Lhe -- 15th----- stay of <br />----- November_ 1:1.65-_ at -2 ------- <br />o'clock and ..13 . __ rn'nutes <br />STATE OF NEBRASKA)SS <br />O�1N AW ). <br />OF <br />andandreco�•ecl in Gcn_. --3 -------- of <br />�Ne�&OSE AtIrI JACODSEN: <br />- <br />i'•'-egIster <br />o,'�DL'C43 <br />Pj7--------------------- <br />nchargeNputy <br />o <br />��..���.r. <br />Fees � <br />