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DA -7A NEBRASKA <br />7-65. DEPARTMENT OF PUBLIC WELFARE <br />Certificate of Award <br />Aid to the Aged, Blind or Disabled <br />and MA HH No....40-6738-01-10-40 <br />....................................................... <br />Name ........... <br />............. ............... QR- ..... Age. <br />tasks <br />................................................................................. ............................................. <br />Ira N <br />Ci ty band r-ilzn-ml. � ebra3ka ..... SS 1�9 ............. <br />............................................... .................................................. ........ ................ .. ................. <br />County ......... ......................... <br />............................................................ Original Payment $ ... ..... Date ...... 77!3.-67 <br />Legal description of real estate owned by recipient: <br />'10t 1570, 2nene Vista S11M;.v1-;3.Cnv G�tj C) f rj!r.rl ToLand <br />AI <br />.................................................................................... ....................................... <br />Signature of Payee State Director <br />J 2 041 <br />State of Nebraska <br />ss <br />County of Hall <br />Entered on Numerical Index and filed <br />for record in Office of Register of <br />Deeds on the ..--..Zth ------- day of <br />6- 9 <br />JUL 7 37 11MI )67 ------- qi4y --------- 19 67 ------------ <br />S hIE A ICA o'clock and _17 .-- Minutes -At-mi. <br />I L aLd recorded in Bookof <br />__40 of � ---5 -- { Pace-- - �=3--? <br />N: <br />Reg,. <br />By <br />o chargeDer-uty <br />Fees <br />