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'DA 7A NEBRASHA <br />Rev. 7-e5 " DEPARTMENT OF PUBLIC WELFARE <br />Certificate of Award <br />" Aid. to the Aged; Blind or Disabled <br />HH" No..... .......... <br />Name--------. 4�......... ............... ........................ .......... ................................... Age_...46.. <br />Address........................................................................................................................................................................... <br />city........:..atOa1. R1 j._ 1 ....................... .......SS No 50 <br />&$.:-_..•....M4 <br />County....... imu--------------------- .................._.Original Payment 5...- ;�l-W--..Date......8`!= A -.>IA----• - <br />Legal description of real estate owned by recipient: <br />Late is 2#'3# 16 5s its 6o Block 29 Brett & Jobnsm Add3tion& <br />Wood Rsvery Nebirass a• <br />................................... -................................................. ....--------------............-.....................:............-.................... <br />Signature of. Payee State Director <br />0 0 <br />state of Nebraska <br />Grantor qty of Hall <br />Grantee Entered on Numerical Index and filed <br />Numerical toe re:�:r::. in Off t�f Register of <br />1_ 2_ 3_ g ieeda on the_—_ ____ deyy of <br />January _ , 13__7_ - at 1U____ <br />JAN ZO 10 60 .fi,t; o'clock- xmr --.�. aiinutee <br />tt [ :.'t ! 4.7,y3t4 iSt ` f•v:_ __ 3 of <br />Sr�7c r. �l�a�ns Ctf. . _of Awar_ds�a Pogo— 116���p <br />L SS <br />ecsc Regiow of Deeds <br />no charge Deputy <br />-- <br />