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DA <br />-7A NMRASKA <br />lieu. 7-65 <br />DEPARTMENT OF. PUBLIC WELFARE <br />Certificate of Award <br />Aid to the Aged, Blind or Disabled <br />HH No. --•--40-707 ........ <br />Name............. . ........................ I .......................................... . ................................... Age -04 ... <br />Address ........... :20.. <br />............ ......... <br />....................... SS o.. . ...... .... ....... ... <br />County-......-.-. ..............................Original Payment $...q?.W......Dale....... ..... <br />....... M.I <br />Legal description of real estate owned by recipient: <br />3 $49 Lot 6g Bl=k 128# VrAw Pwifft tad Add* <br />of Graiid 183mWe No. <br />v <br />............................ ....----..........-•--•...-..-••--- <br />Signature ** —*'** — ......... —S' *t*a*t* e — Director, **' <br />0 0 0 2 <br />Gr6ntor State of Nebraska <br />Grantoe qty of Hall <br />Eutered on Numerical Index and filed <br />1dumerical--2— for record i -n Office of Register of <br />1— 2-- 3— 4_ Dem--r,:a clay of <br />March j)76. -- at - 10 <br />15. vnInutes —A <br />M '70 <br />FM SKA) otf. of d <br />Pa <br />S <br />0 eed, <br />y <br />charge Deputy <br />