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Type of Aid 29-5536—A <br />Name ...... Julla..+ 011Y...................................................................... No....(A:77.M. )....... <br />Address.... ... $ <br />.rt ... 4! reet.,.Omaha...I.......... County of....... Ro 4.9! s............. <br />Changesof Address.......................................................................................................................... <br />........................................................................................................:......................................................... <br />Original Grant$.... 13-.00....................... Date ....... MAY ... I...................... 1939. <br />Amount of I STATUS Amount of I STATUS <br />Grant Dab (Mod., Snap., Cana.. Roo.) Grant Dab (Mod., Snap., Cana, Roo.) <br />............................................................................................................................................................................................ <br />Signature of Payee Director of Assistance and Child Welfare <br />