Laserfiche WebLink
DA -7A NEBRASKA <br />Rev. 7-65 DEPART31ENT OF PUBLIC WELFARE <br />Certificate of Award <br />Aid to the Aged, Blind or Disabled <br />4o—''967 -A2 <br />Eta r�0 HH Ho ..................................................... <br />TT. <br />Name.................4�1��..�f.�..:. tri. .................... :................................................................................. Age ............ <br />Address.............. ...a -0-......-------------.......................� <br />................... 1, <br />...1;:iam-i� •f•ft�•l;r�-----:�QF�::3C•=�i:�C��E�................. <br />City--- n------------------------------------------------------------------------SS No.. o. ... Z .............. <br />County......................................................................Original Payment 5..!1... --------..Date .... �----....�................. <br />Legal description of real estate owned by recipient: <br />A, Lot 1710 `'ol:.ont 14,3* to grand island. Be Loi: 1720 <br />tiolrmcint Add. to Grand I31and. Co Lot 1730 Velnont pidd. <br />t-) ur3nd Inland. <br />0�: <br />Signature of Payee State Director <br />004 1 9 ! <br />State of Nebraska <br />County of 'Hall ss <br />Entered on Iku>nerical Index and iilcd <br />for record in Cff:ce of F:egister of <br />f Le `•s ca t'; -.c.. 15th day of <br />Nov 15 9 13 AM 65 November - <br />---------- --• ---- .1 .6 - at ---4----- <br />STATE Or NEBRASKA) o'clock anti .__ 13 . __ ni'nutes --- A-Vt. <br />OR HAL ) SS and recore` —d in ook —3 -------- of <br />Ctf. of AwardD. at nag __ <br />OSE ANN,- OBSENi--------• <br />-Il.ot s <br />Fcegiste: Ce4tS <br />By------------------- -- <br />Fees $ no charge Deputy <br />