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Duplioate <br />OLD AGE ASSISTANCE CERTIFICATE No.....33-7 .................... <br />I <br />...................... J.jef,6rS(= ............... County, Nebraska <br />Name....... 414MAR.-R-TWAOX .......... . ........................................................................................... <br />Age ..... 75t ......... Address......... 103..3 ..... 6tb-.8tr.*at*F&t;cb=-y-*3*bV .............. <br />Amount $....104.09 ............. Modified Amount $................................$................................ <br />Date .... llAZQh--A-vl9l36 .............19........ <br />........... (.94A44) ...... XXI .. Av-7914A ........... <br />This is a true oopy of Corfificate originally Direato. of Assistauve <br />issued. <br />..................... I.O.M.7,116MdAMIM ............. ........................................... I ........................... <br />:Dlr.ctor of Assistance SL Sig—taro of Applicant, Next FzWud or Guardian <br />