Laserfiche WebLink
OLD AGE ASSISTANCE CERTIFICATE No....." .............. <br />to .....................County, Nebraska <br />Name...F"CAMA........................................................................................................................ <br />Age.....6.7 ......... Address .... '310,8-1..71h... ....................... <br />Amount $................. Modified Amount $ ................................ $...............::............... <br />Date ............. June..25.i19.3.6.....] 9-....... <br />This is a true copy of Cartificato originally ......... A 'p`Q ,Mr'.�.. .w.AQ1� i .............. <br />Director of Assistance <br />issued. <br />................. R euva ndeso- er......................................... :......................................................... <br />Director of Assistas os Sigaatsre of Applicant, Best Friend or Gawdian <br />