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NEBRAS <br />. <br />DA:-7A':v"7.n DEPA���r sL1a wELFnRE, <br />Certificate lind Award <br />Aid to the Aged...B <br />HH No <br />Name ., ... <br />Age.:... <br />Address: ....... =N*Aftk....... _........ : ..................... <br />City .:.. ....Liai'>:i�.1101" - ........: u No... t -.... ... <br />County- -- ----P M .................. .........Original Payment $... h?*,?b...... Date ............ <br />R .l3l <br />0 Q <br />Grantoxt Nebraska <br />�� Han <br />•,Grante0 11 <br />iiumericaZ /5� Entered on Numerical lade= and filed <br />1-- 2 3 -- for trecord in Ciffke of Register of <br />DM& -"oa ` thie &Y of <br />_ April_ 19_7Q_ at _ 10 <br />APR, 13 10 32 �N '70 m clock "L -32 ------ i�i�utes _A.,__hL <br />L t tf of Awa s' e✓ _ <br />Att I 10,C egister o eels <br />Q# QNds ' <br />4 ------------------ <br />no charge Deputy <br />Fees =•---------- <br />