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loo!�1 -77', <br />NEBRMKA <br />DA 7A <br />Rev. 7-65 DEPARTMENT OF., -PUBLIO WELFARE <br />certificate O Award <br />Aid to the Aged, Blind or" Disabled _ <br />HH No ...... <br />Name ..... QMjk Can <br />..., .............................. . ........... .................................... Age ...... 73. <br />... **"*'*$*'—**'.*****.****"****** .. .......................................... ....................................................... <br />City........ ... Gino V .....................................................SS No. -..M..:...24.....:.. 63M... <br />County.----..._ . ..................... I ................................. Original Payment$..38*M ...... Date ....... 942oft .... MA. <br />Legal description of real estate owned by recipient: <br />Lot hp 03 .28g QdgUga TOM of Grand 163=4 Nbo <br />Signature of Payee <br />.............................................................................. ....... <br />State Director <br />L1 <br />State Of Nebraska <br />County of Hall <br />GiantorEntered <br />LY <br />on Numerical Index and filed <br />Offike of Register of <br />Grantee Z— <br />for reor-Ord in <br />12th.._ day of <br />-- <br />Numerical <br />bei: C.,4 the <br />January .1970 rt — 10 ---- <br />2-- -3 - 4— . <br />--W- . --X <br />of <br />2311 M '70 <br />cts <br />STA5P- <br />C., <br />f t+eaoN <br />By ---- Deputy <br />charge <br />Fees $-RO �"" <br />