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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 D"bled <br />IIAIIIAM-!12 iffie Mae <br />o ...**** <br />* .... Age ...HH N140-4984—Al <br />Name..'. <br />2021ronAddress <br />...........* <br />atis ...r <br />...............................SS No ....................... .........................City.............................................. <br />County............ T ...............................................Original Payment S .... Pj:-.,YP. .... Date.. <br />Legal description of real estate owned by recipient: <br />A. Lot 6, 91k 19, 13,irr's 2:4 Addes Grand Islandp <br />Mebre <br />SIVIULture of Payee';4•% <br />-4-; <br />State of J\Icbradca <br />County of -,Iall 111 <br />Entered on f'4tmerical Index and filed <br />for reccrd i.; of Register of <br />, <br />t,; 3 11 on t%a Nove�6er ,-65 - 15th ----- day of <br />--- ------- --- ---- ------ <br />jT%T�;F N R130 o'clo,:':. .13 <br />dI ar-, --c-cure-ad in Book --3 -------- of <br />cm. C tf�.-oX--AxardE) at page/'�-11 ------ <br />C--�08. 0; &ZD'4' � 11 <br />By---------------------- --------- <br />no ch2.r3e Deputy <br />Fees . <br />