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DA -7A NEB" .SHA 8t' rrm merrick Com <br />Rev. 7-65 .. DEPARTMENT OF PUBLIC WELFARE <br />Certificate of Award <br />Aid to' the Aged. Blind or Disabled <br />NN No.Aar4" ...... . <br />........... <br />Name...�`s•• <br />Zd1i9Zd..Da..... ........................................................ <br />Age .::.. <br />Address <br />x...54..City`.:ft8d SS No.. <br />county........U......... ...... Oilginal Payment 5.��.�.....Date...11-1�>...: <br />Li <br />Legal description of real estate owned by recipient: <br />Lot 40, 41, West Heights Addition, County of tIall,, <br />Grand Island, Nebraska <br />AID <br />.................................. J.... ......... <br />..... •••^••-.. - state Director y1 - <br />SiRnature of Payee J <br />Grantor <br />Granteo---r2 State of Nebraska <br />humeri cal County of -Tall <br />i 2 3 4 Entered on Nume ical Index and filed <br />foc, re --oro i:-1 Cffkq of Register-oft <br />uc 18 I I 24 RH '6g t,et ga �.Ist,� - 19 --- 05 ---- q <br />C�� .tir � __;Z r 1L�Lif28— A, 4 <br />ST �1APA K ) 3 <br />HALL in 'L:r;or•_. _ of <br />tf ..jQf_-LW � _ <br />ROSE hFiN 1,;,^,o K <br />of t)aeun <br />$y ---- <br />no charge Deputy <br />Fees $-------- <br />