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CERTIFICATE OF A14ARD <br />TYPE OF AID -Co. Medical <br />Name Welch, Ozellar HH No. 40-1507 <br />Address 424 North Darr County Hall <br />Original Payment 38.20 Date 11/24/61 <br />County Relief:, g escr p ion of real estate <br />owned by recipient <br />Lot 5, block 12, Packer and Barr's Addition <br />Signature of Reciplent <br />3828 <br />State: of Nebraaka'� <br />County of Hall ss <br />Entered on Numerical Index and filed <br />for record in Office of Regiater of <br />Deeds on the ------ day of <br />N4Ye1qber 19 -Al- at <br />o'clock and ----, p.._ minutes <br />and record <br />d in Book nAi__� of <br />County_ of w al pa <br />Register V Deeds <br />BY <br />Fees • ----- �pu�--=—.�.--- <br />$_ :-Xa-C}jerge <br />