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Sqt. •7-iS6 .. Till ••e ' <br />xo tlt a S4l{ffd or blsatiled " <br />HH No",_.W4 <br />_ <br />47 <br />County......., A w _*Anginal Payment t : .Date.: �'3 <br />legal description of. real esfafe'owned. by recipfeet: <br />lit• •Z Owt yr t ice V. gVg toot f ., 0 7 e �• <br />i� B:.ii�'�Md'. �' �it1, fair �3 Srrmes �dq•�tp�ad Yalarl�' . � '+ <br />_... ... ...... ..... .....: <br />c <br />Signature of Payee State Director <br />OA4q`5: <br />State of Nebraska 1. <br />County of "all <br />E:a�red on ;eztnerical Index and filed <br />for rv:oru' is ..ff:ce of Register of <br />' Wth day of <br />DEC 30 9 V R4 . , December.:. tJ:6(z. at ---`� --- <br />o'vicc!_ its; 20 <br />STA F NEBRAS at:Q of <br />OF Y*!ej <br />at' cfle <br />i OSE (M JACOBSG f Dgdo 38fer Of 8 <br />By-----------D�u-- <br />Fees <br />•. 5 • <br />