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DA -7A NEBRASKA mrer from <br />Rev. 7-65 DEPARTMENT OF PUBIJC WELFARE <br />Certificate of Award <br />Aid to the Aged, Blind or Disabled <br />'HH No .... 4U6'52*A1 ........................... <br />Name......... Vnjjt0U&,..ZW ....................................................................... .................................... Age.04 <br />Address........... ........................................................................................... <br />City .................. GrmW.. TO an NaLbr& .................................. SS No.....505-PU,03513 ....... <br />County ........... X-�"O ..... Date ... 5!!I�? <br />............................................... Original Payment $ .......... <br />Legal description of real estate owned by recipient: <br />Lot 11, Block ho Lamberts Addition to Grand Island. <br />......................................... ..................... ....... <br />..................................................... ......... <br />Signature of Payee •Stnte Director <br />J <br />0v <br />2— Y <br />State of r4ebraska <br />ss <br />County of H'all <br />Entered an i-,-ainerical Index and filed <br />for record in C-11fice of Register of <br />Leeds csi the 2n- ----- day of <br />May-- .-- 19.66-- at --- 8 ------ <br />o,cioci, a -i -i 49 m1nutes <br />and I'CC0Z'dLd in l -I ------- of <br />;f. of Jkw2-r—cR atpre. -A-3 ------ , <br />---------- <br />) Register, <br />J.-.' Y --------- ----------------- <br />Fees $--nQ—C11ar9e Deputy . <br />