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Last modified
7/8/2017 6:56:49 PM
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7/3/2017 12:18:15 PM
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003-155
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Rev. DA-7A <br />46DEPARTMENT OFBPla]MC VVI I ARE <br />Oertificate of Award <br />` Aid to ,the Aged, Blind _or Disabled <br />HH NoO". <br />Name ..:...... •jt -...... •........ ........ ...... .. ............. ........... Age.. ..... <br />Address �- WOa= ....•.•.•..•.....:•..• <br />city.. .......• slam.....:. SS No ....... !.. . <br />....Original Payment:$.h2AW.......Date.. �Z .. <br />County ..•.:.....:Ba13:.:.•........:.................::............ _ ._ ..Y <br />Legal description of real estate owned by recipient: <br />or fto 670 Or awtth Wes Lt t 'g5 oP Coe Saba et <br />vast hat! 13W 2A 201L•9. <br />............ <br />..... ..:... <br />... ..... ... <br />Signature of Payee State Director <br />State,' of Nebraska <br />Grantor <br />County of Hall <br />Granteo Entered on Numerical Index and filed <br />uuwerical_�L_-- for record in Office of. Register of <br />— 2--= 3— 4— (jeeti{, oa ' tha _-16th I0 of <br />6� at -_ <br />MAY IG IU 15 (L �1n . o'clockand l_ _ minutes�1+L <br />rd in -Book 3 of <br />s r Rn r ss Ctf .n o - Awax _ t P <br />VAL <br />c s ANE' NACOS Reg�stes 'of' <br />R of Gads - <br />By:�_--- <br />Dep utp <br />Fees *_no charge.. <br />
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