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Duplicate <br />OLD AGE ASSISTANCE CERTIFICATE No.....,�-.�?.Q................. <br />......................... W1 ........................... County, Nebraska <br />Name...... GAga..T..H*nttold.................................................................................................. <br />Age..65 ............ Address ..........toad..H1.rsr.Aabr......................................................... <br />Amount $.10...00 ................ Modified Amount $ ................................ $ ................................ <br />Date .......... Ont,ob:er.A.s..............19.36. <br />This is a true copy of Certificate originally <br />issued. <br />..............eI.1....G..Tan diM er............. <br />. Director of Assistance SL <br />...............CS U.0a).... TXl... D..Tolen........ <br />Director of Assistance <br />................................................................................. <br />Signature of Applicant, Next Friend or Guardian <br />