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DA -7A NEBRASKA TRAM"M rom W" <br />Rev. 7-65 <br />DEPARTMENT OF PUBIJO WELFARE <br />Certificate of Award <br />Aid to the Age& &Lind or Disabled <br />NH <br />Name ..........j!VCHwp ........... Mary <br />........................................................ . ..... .................................... Age..7.0 <br />Address ....... 610 .. As ... DuT ......................•-•••...•••••....••••.._•••.....••••••. . ..... <br />. ............. <br />city .............. <br />W4*6 .............. . .............. SS No ...... ...... <br />County ....... RIOU .................... I ............................... . .. . ............. <br />Original Payment $.....Y qlk ....... Date ....... 74 ..................... <br />Legal description of real estate owned by recipient: <br />Lot 39 Block 16, BOMUG Bras <br />Grand lalmW Halle Ifebreeike <br />2;3 <br />HALL Co <br />......................................................................... I ............ ...... . ...................... ...... .............. ........ <br />Signature of Payee <br />State Director <br />KW ­ <br />0.2 <br />State of Nebraska <br />County of Hall as <br />Fettered on Numerical In'de*x'and filed <br />CC <br />for record in Office of Register of <br />JUL ZG il 02 Deeds on I the ------ ?6th---- day of <br />R P tie - _JUIY ---------- 19AL at <br />F LL go o'clock and minutes _Aq__M. <br />46 kAN and recorded in Book ;_-3---- of. <br />JA <br />-6 <br />of t A peg <br />ds <br />Register Deeds <br />----- <br />By------ - -------- <br />Deputy <br />"Fees $-=—Qh=98 <br />