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I.DEPARTMENT <br />ae.'s ovs aFROM � M" <br />VA <br />Certificate of Award <br />Aid to the Aged, .Blind or Disabled <br />Wd FA . <br />HH No ..... ...... <br />�1666�1�,..................... <br />Name .........*.. .. ............................... Age...69... <br />Addr2ss.... _... p .a*.$*•..................................................•---•--.......---........:-------............-----.. <br />City...............tu�w1dI a.lisb�teka:........ SS No. SD7.:....2h ... 61........ <br />County .......... JIM ..................................:..............Original Payment$.10•DQ........ Date ....?wl+df6................ <br />Legal description of real estate owned by recipient: <br />tot 6S Block IA, L=barbsa AddlUan- to r:rand I31and• <br />i <br />i <br />r <br />........................................................:.....:.... .... ......... <br />' - <br />Signature of Payce - <br />State of Nebraska <br />County of Ball as <br />Entered on l\'umerical Index and filed <br />for record in Office of Register of <br />Deeds on the ___ _26th.__- day of <br />=---- July_.---- 19. 66_ at -_ <br />11----- <br />o'clock and _Q? --- _-- minutes-Ae__M. <br />and recorded 'in Eoolc ___ 3 ------ a? <br />a ag ---- <br />-� ---- -- - ------------ <br />Register Deeds. <br />By------- ---------_� <br />�— <br />no--- char -g a Deputy <br />Fees — <br />