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DA -7A.. NEBRASKA <br />Rev. 7-65. DEPARTAEMW OF PUBLIO WELFARE <br />Certificate of Award <br />Aid to the Aged, Blind or Disabled <br />AR!!W-D2 <br />HH.NO ....... ................... ............ <br />Name...... IMFPS ..,No ......... * ...................... I ........----.Age.... <br />Address.....*-.9.th .................................................................... ............................................................ <br />city ............. GrWX1.1Q2Xnd*J%1WkV1M ............................... SS No.............-•----- --............. -......- : ............. <br />County --•--...Ata ................... ........... . .................... Original Payment $ .... 26,60 ..... Date ....... 5j! -I-.66 ........ <br />Legal description of real estate owned by recipient: <br />Fraction of TAU I & 29 Block 33 <br />Lembwb's Addition to UrwW labind <br />Signature of Poem .. 1-7 State Direc <br />State of Nebraska <br />County of Hall <br />Entered on Numerical Index and filed <br />for record in Office of Register of <br />i-eeds on the ----- 2-5tb ----- day of <br />MAY 25 9 17 AM '66 <br />19-6§.- at -Y -------- <br />0 clock and -.17 ------ minutes As --_-M. <br />E N <br />115k*KA) <br />0 N ook --- Of <br />wid record <br />Ctf f A d9 ------- <br />Register Deeds <br />Y--------------------- — — — — — -- <br />Deputy <br />Fees $Rg._g�jprge <br />