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CERTIFICATE OF AWARD.Q��,..,�,��...,R�.���.�a�toee......4....1 <br />Type of Aid <br />Name...... 1. ...................................... No....Oft7 0............... <br />Address....... Donj:ph4M•,.X*bra &k& ......................... County of........................................ <br />Changesof Address.......................................................................................................................... <br />.................................................................................................................................................................. <br />Original Grant$.14-03.......................... Date .... MAY .. I& ...................... 19J <br />Amount of <br />Grant <br />Dab <br />STATUS Amount of <br />(Mod., Busy., Cane., Roo.) Grant <br />Date <br />STATUS <br />(Mod., Susp., Cane., Roo.) <br />SL <br />............N1il ....CV.an.d.e�aer................... <br />...... ...... <br />Signature of Pare Director of Aseiatance and Child Welfare <br />