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CERTIFICATE OF AWARD ..................................... Old Age AealetaaE3� <br />......:........... <br />Tsps of Aid <br />Name.... Edward.. .. eu nn ......................................................... N........8."6Sg......... <br />Addy s ......13.1.7... A!!mt. Si(and...........HaI................... <br />Ebs............................................cunt* of. <br />Changesof Address.......................................................................................................................... <br />-•........................................................................................-......................................................................... - <br />Original Grant $......20.06 ...................... Date ...... &Y.0.0�r.-L....... 19A. <br />Amount of <br />Grant <br />Data <br />STATUS Amount of <br />(Mod., Snap., Cane, Boo.) Grant <br />Date <br />TUS" <br />_<._..��ilC Vandemo4P ....................................................................... ......"................ <br />Signature of Payee Director of Assistance and Child Wallet* ' <br />