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DA -7A NEBRASKA <br />Rev. 7-65 DEPARTkEN-i OF PUBLIC WELFARE <br />Certificate of Award <br />Aid to. the Aged, Blind or Disabled <br />STATORS 1111 No ...... 40 -1264 - <br />"fie ..................... <br />Legal description of real estate owned by recipient: <br />;2 <br />A. Lot :to Mk. 19 Pricker zi ParrosllAdd, to Gran(I jallfInd, <br />tian cos, Rebr, 2 - <br />Lot 5* Rik 18 Poker & %.rr9j3AAd1. to Qvind Jalow, <br />Man Coos Nebr. <br />.................................................................................. <br />Signature of Payee state <br />7 .................. <br />«4247 <br />State of Nebraska t 85 <br />County of Hall <br />Entered on Numerical index and filed <br />for record in Cff:c- of Register of <br />1�,'Cee3 cn the of <br />Nov 10 8 5t: 14 S5 ---- november_ X3.65_ at -- 8 ------- <br />0'cloc': 58. tes -Atm. <br />OF of <br />OT OF S3 --------- <br />N F H a -d JCCL3-�r-d In E <br />N. <br />ctf, <br />4 Award <br />R SE AWN JA N; <br />of •-- ------ <br />1,egiste f Deeds <br />By------------ ---------------- <br />Fee, $.!j?�Ege Deputy <br />__ <br />