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CERTIFICATE OF AWARD ..Old... Age... A.G.6 M.ULAom.......4f).-944,-1 <br />Type of Aid <br />Name...........MJ, 14A...K.."WRU0Z1...............................I............. No..... =00............. <br />Address......... .................. County of ...... K 1 ...................... <br />Changesof Address.......................................................................................................................... <br />................................. *****.*...................................................................................................................... <br />Original Grant $......16..26 ..................... Date ......... I1". ..............19..39 <br />Amount of <br />Brant <br />Date <br />STATUS <br />(Mod., Snap., Cana., Rao.) <br />Amount of <br />Grant <br />Date <br />STATUS <br />(Had., Snap., Cane, Roo.) <br />it....qj=aenoer SL <br />......................................................................................................... <br />..... <br />Signature of Payee Direator of Assistance dad Child Welfare BYO <br />