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777701777717777 �771-1. <br />Rev. 7-6 D'MWA1&Tb11E=,0F WELFARE <br />Certificate of Award <br />4&46 tM'-AjVed, <br />HH No... <br />... IM <br />Name . . <br />... <br />.............Age. <br />.. ..... ...................................... 7. <br />................................................... <br />.................................... w <br />City ..mdd1".SS No................. <br />..... ... <br />County .......... ad% ................................................ Original Payment $.. ...Date... ... <br />e4jo .... <br />Legal description of real Wale owned by recipient: <br />................... ; ................ . ... <br />. ..................... ...... ....... .... . ......... I ...................... . <br />a of Payee <br />L <br />C.'rantol— <br />Gra"Be <br />t4,tner,ca,7 <br />I .... 2.... 3.... 4.... <br />971 <br />S.rUNV or Arp <br />.of NEBRASKA) SS <br />- HALL ) <br />,0 ... . ....... <br />W7�c �' I <br />kv AW <br />ROSE 11 jA�CpBSEN- <br />R,9, ot need% <br />State of Nebraska <br />SS <br />County o! Hall <br />Entered on Numerical Index and filed <br />for record In Office of Registor of <br />Deed&,on Um 13 h dW of <br />January ._...19...r. '(-L d U <br />—;L.-- <br />o'clock and 19 ndmites AA --M. <br />-ind recorded In Book 3 of <br />Ctf ...of--Aw4rA at 171 <br />Rose lj7n cosen <br />Register <br />of s, Ro" J&obsen A <br />Y <br />no crgDeeputy <br />Fees $ ................ <br />