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DA -7A_ NEBRASKA�. 746W, DEPARTMENT OF PUBLI() WELFARE <br />1 <br />— _ certificate of Award <br />r Aid to the Aged, Blind or Disabled <br />HH No0•W63!!m,......_........ ........ <br />Name R. <br />Age <br />Address :S v..OW.._......._.. ..... .... ........ <br />city Grew Ws ...ate -Neta$... ................................ SS NO ......................... . ........................ <br />County.-....-..Aan..................................................Original: Payment $.. ...Date.... <br />- -- <br />Legal description of real estate owned by recipient: <br />Frao'tUn of Lbt bg rmaLicasa2 part of nock 322 of Rolm <br />Par.4fia tjimy. &-ganWat 2nd Addition awl, its coaplemlintO <br />of Fractional part of 10t.49 of rractt ima2 part of IlUc s 27 <br />of He Is Clark's AAditUM, <br />...... ..................... ...................-........... <br />....lv"l'v:Gr...:�.i <br />Signature of Payee : .: - - State Director r <br />'4 <br />00078.� <br />State of Nebraska <br />County of Hall <br />Entered on Numerical Index ander ed <br />for record in (:'ffice of Regi <br />':eddE Of <br />t;,e .. 22nd------ day of <br />MAN' 1 M 61 March:. _ 1367 -- �t---s----- <br />o'cla�anJ. M. <br />P N KA) in <br />- -------- of <br />NTi at:v' ri< uru - <br />age --SIT _— <br />a& ADoods O N, --- <br />--- -- Rego - f Deeds <br />----------- <br />Fees <br />---- Fees nO-Ahme Deputy <br />f <br />