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Last modified
7/8/2017 6:55:56 PM
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7/3/2017 12:18:14 PM
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003-110
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DA -7A <br />Rev. 7-65 NEBRASKA <br />DEPART31ENT OF PUBLIC WELFARE <br />Certificate of Award <br />Aid to the Aged Blind or Disabled <br />HN Na <br />Name........; 14.1.n ........... ................... <br />. <br />. ............................................................ ............ <br />.... .................. <br />Address .... Lebensrs= <br />City ........... Gr-&nd.JS1aM.P.-.3ebrAaka ................................................................ <br />County ...... . !!an ......................... SS No.....................:..:...........::.............:..... ... <br />...............:.............Original Payment S ... T.eQe .......... Date ..... <br />Legal description of real estate owned by recipient: <br />?art of Northi of M'Elb Section 24, T <br />20 <br />South Loup Township, lillaj;e of Cair9." <br />ku� <br />J, <br />0, <br />X) <br />..................... <br />Signature of P ayee ....................... ..................... .. ....... . ............ <br />State Direct. <br />0 0 2 95 <br />State of Nebraska <br />County of Hall <br />Entered on Numerical Index and filed <br />for record in Office of Register -of. <br />,: Deeds on the' .... day of <br />JUL <br />— -------- AU_3,V.__.19. 66- at __U----- - I <br />eu <br />_U------eux OF NEMP-MM o'clock and nvnukes'_&,__M. <br />and recorded in Book <br />C tX of A <br />SU ANN' jX48"N: alp e__ <br />arV4W <br />;;e ut f Deeds <br />BY <br />Deputy <br />Fees $—a"Jarge <br />
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