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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 Diadbled <br />HH No.1 —DI <br />..................................... <br />Name.... R3WMh.%..ftcnje .................................................................... ....................................Age. 63 <br />.. On <br />Address ...... ha-&-Uto ........................................................................................................................... <br />City ...........rA.16),; <br />mo. .........................:.....SS No ......................................•..._............. .. <br />county ........ Ean .................................................... Original Payment S..N.or* ...... ... Date.UA ... % ............... <br />Legaldescription of real estate owned by recipient: <br />Lot 10- 71wk 94,0 Original Tbun of GnUW Island. <br />......... ... . ....................... <br />.................................... <br />Signature o[ Payee <br />State Director . <br />0 0 4 9, 5 <br />State of Nebraska <br />County of Hall r 38 <br />Entered on Numerical Indcx and filed <br />for eccrd in Cff 'cq of Register of <br />Noy 19 35 '65 becc:j Cn the .. 19th_____ day of <br />November_ 1D.65— at -9 -------- <br />STA,Tl 'r rM. KA) SS C,_ ar", 35.. ra*nutes --- -A - . - <br />-M. <br />--- -- <br />GO 3 of <br />03 ANN JA SEN: Ctf. of Ai��ar _t ------- <br />L-ister Deeds <br />By----------------------_-------- <br />no <br />-------------- <br />no charge Deputy <br />Fees $------------ -- <br />