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DA -7n NEBRASKA <br />Rev. 7 -Gu <br />DEPARTMENT OF PUBLIC WELFAR <br />E <br />Certificate of Award <br />Aid to the Aged, Bliitd or Disabled <br />HH <br />.r <br />No.. 4047 9-01-31-40 <br />Name ..................a .. <br />............. <br />...E........--•-•---••--------...---••---•- <br />Address ................ <br />a.....1� ..Q.................................. <br />........................................ .................. <br />City..................s.r...£s17nd�_..3s�"�:=�....................SS No....................:...........,..;.................. <br />County ................ .alb......................... ---.....Original Payment $.... Ygii`.r..Date.... -.576 "IA <br />Legal description of real estate owned by recipient: <br />Part of Lot Is Sectuion l81—L-91 :,�aFt3.T1�vUls 'i''JW,-Isi'lips <br />............................................................. fry <br />Signature of Payee State. irector 7�j Gi1 <br />QQ2.04�� <br />State of 1`lebraska <br />County of Iall ss <br />Entered -on Numerical Index and filed <br />for record in Office of Register of <br />Deeds on the 7th -_ dayy of <br />July-------- 19._ 7-- at ---------- <br />JUL 7 37 11H 167 o'clock and __--37 -- minutes <br />and re -corded in Book 3 of <br />F NE PA ,A; ss Ctf. of Aw _ _______ <br />' F t AL ----------- ------ a pa <br />e- <br />-- <br />_ /8 <br />ROwE Its J.h . ------ ----------`-- <br />r f3SM <br />er or ue®a Registe f Deeds <br />By---_--_-IBe uy <br />--------=-- <br />Fees $- no charge Pt <br />