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DA 7A NEBRAg" l ! <br />Rev. 7766 DEPARTMENT OF. -PUBLIC WELFARE <br />:Certificate `of At iardl, r` <br />Aid' to tfie Aged, Blind or, DiaWd <br />HH No..: ......... ..........%83...'............. <br />Name.'.*...... :......UPMA.11..Y11M...... ..... .................................... .....................Age... ... 1 <br />....inter.. k?iW5..5iir4 <br />Address ;. <br />City ...... --GarOx ..... ....... ...... ..SS No . ............. <br />..:............ <br />County ::......:.......................................................... Original Payment $.--104.0......Date......!! "79..i A <br />"legal description of real estate owned by recipient: <br />.. - T_, X "'1 ..,.e. a r,-4— O4'il 9wi 104- <br />000159 <br />Grantor <br />Grante <br />Numerical <br />1.... 2.... 3.... 4.... <br />JAN Z '10 08 AH '71 <br />STATE NE RAS <br />OF LL 1 <br />ANN :Acus <br />4f Dewds <br />State of Nebraska t ss <br />County of Hall j <br />Entered on Numerical Index and filed <br />for record in Office of. Register of <br />Deeds on the 21st day of <br />Janua 19 at To .. <br />o'clock and ... 'mhu tes !'.M. <br />and recorded In Boon - - I of <br />Remi ter of Deeds, IMe Ann Jacobsen <br />By _... <br />Deputy* <br />Fees s,no_ charge <br />