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DA -7A <br />Rev. 746 1DEPA�RT1l�7T ` IS'PQWW WMIGIRABri <br />'- dertiOgte oJ.d'toarrt - � <br />Alai id'_t" s%d�ed,' or Dibat,Ted <br />HH�" •------- - --------------- <br />Name ... <br />--- ---- -Name... .W'1'$Q��. s _ <br />.... Age( ij <br />Address .Rtj » ......................... <br />City .............. ti dv*r4-.X'iA3MtNkW _......... _... <br />m. County JRUI `.. _ Original Payment �• i1 aaQQ.x -Date_- 940%• ................. <br />Legal description of real estate owned by recipient: <br />Lot 7 and'8, Block 9, MacColl.and.Leflang's Addition <br />to Wood River, Nebraska <br />....... ........ ..«..»..._. .__....»...» <br />Slsaatare o! Payee State Director !hf <br />r- - <br />00.14A4 <br />State of Nebraaha ) <br />r63 <br />County of Heil •� <br />Entered on t4uuterical Index and filed <br />for record .a Y_ ff ce of azistet of <br />cn t%c 12th day of <br />*MAY3 �� P�1 '67y-- - ; - -- ---- <br />o'cioc=: as� 10 iG1) 88 8: ri r�ccr_ _ aE <br />a s. _ 1 5_,S s <br />Regis- -r eeda <br />y- <br />Pees no charge <br />Deputy <br />