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DA -7w NMEASSA rict'..•�r t ?..: i; 1 �. <br />Rev. v-66 DEPARTMENT OF PUBIJO WELFA= <br />Certificate of Award: <br />Aid 'tothe Aged, Blind or Disabled <br />do Iie1 HH No ........ t}t?..1Utl. Ai ....................... <br />Name............ itll<?1tRs...::......... M:1M......................... _...................................... •-•....:..........................Age.._..1 <br />�. ... p. <br />Address...:.....��..�a...�Y.�i�4t'1t........................._:.....-----......-• -- - ....._.-•---...:................------- .... . <br />....................................................��4Original Payment $ No.. .. .....Date...... ?:............ <br />City ....:..........Mall ..... - 26.20... .......0.9..1.....109 <br />rtarld Island ,•., . •„��....._... <br />W. <br />County -• ....:...::....... <br />r <br />Legal description of real estate owned by recipient: P <br />Lot 2, Block 1469 Lf.P, Hallway Co. <br />2nd Addition to ori;,-inel town of vrand Island <br />....................................................................:.......:.......... ...........•--•...... ..................... ....... p <br />-- - Signature of . Payee - — - — - State Director <br />� 4 <br />7U. .. <br />State of Nebraska <br />` County of Hall <br />Entered on Numerical Index and filed <br />for record in Offic of Register of <br />*A11N <br />Deeds on the -.-. VA----- day of <br />Am )66---•Jn1y-- ._... 196-- at _9_------ EBRA KA)o'clocl: andminutes _A„ -M. <br />AL ) ss and recordedA ook _--3_—____ of, <br />Ctf. ofA=,,,�age _ ns�rv: e _ <br />Register o eeds <br />By_--_--_----(-/-------__-- <br />Deputy <br />Fees no 9tU9e <br />