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Rev.. 7-65 <br />DEPARTBIENT OF PUBLIC WELFARE <br />Certificate of Award Tt#14dFSS$iD MAA <br />Aid to the. Aged, Blind or Disabled <br />HH No....4R!§W!4 ........................... <br />Name ..... ...... UtWbeth ........................... I .................................................................... Age .... 7.4 ... <br />........................ <br />Address.. . ell ... 14A.. 14M) ...................................................................................................................................... <br />50 city .......... �Irmo ... 14a so ................................. SS No .... A ........:....v......:...._452 ... <br />County ...Hit ..................................................... Original Payment $2949 ......... Date ..... ..... <br />Legal description of real estate owned by recipient: <br />160t 3s, Mock 12 011berts 2nd Addition to Graud Ulands <br />Nebraska <br />Lot 49 Block 26, Orijnal Town, Wood Rivers Nebraska <br />............................. <br />....... i ................. ...................................... .................. <br />ilgnature of Payee Stnte Director <br />17 <br />7 7 <br />State of Nebraslfa <br />County of Hall ss <br />Entered on Numerical Index and filed <br />for record in Gffice of Register of <br />Deeds on the , -?5:�k---- day of <br />MAY Z5 A"'66 ....... May .. ..... 1966.--- at --2* <br />o'clock and 17. --- minutes --- il-l-w <br />OF INI%SKA) and recorded in Book -- ------- of <br />P L C 88 1 <br />tf-Qf--Av S-- pa a-- -? ----- <br />0 E' XIN t LIJ <br />Rq of DNC <br />Regist f Deeds <br />By <br />Fees s-m-gh-ar-ge Deputy <br />