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DUPLICATE j <br />OLD AGE ASSISTANCE CERTIFICATE No....... g'�9.................. <br />............................County, Nebraska <br />rJftme......Ivry .....1 A..Davie........................................................................................ <br />Age..6.5?............. Address .............716 ... E -...8th, Grand ',i$land,Nebr............ <br />................ ............. ..... <br />Amount $.16. ©0 ................ Modified Amount $ ................................ $ ................................ <br />Date ....... AP.?C 4--! ;+ ......................19..36 <br />This is a true copy of Certificate originally <br />issued. <br />......Me l...C,.Vandemoer................... <br />Director of Assistance p <br />d <br />(Siaed)...Irl. D.T©len........... <br />Director of Assistasoe <br />.................................................................................. <br />Signatsre of Applicant, Nest fhiesd or (3nardfas <br />