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DUPLICATE <br />OLD AGE ASSISTANCE CERTIFICATE <br />Name ... n111az Haney <br />No... S."152 ................... <br />Hall ............,,,..,,,,,County, Nebraska <br />........................................ <br />Age ..... 66......... Address...1922 W.N. Front, Grand I$land.Nebr. <br />Amount $...16, 00 .............. Modified Amount $ ................................ $ ................................ <br />Date. ....... Ma.rch .. 26 19...36 <br />.......................... <br />This is a true copy of Certificate originally <br />issued. <br />Neil C.Vandemoer <br />................................. <br />SE <br />Director of Assistance .. <br />(Signed) Irl D.Tolen <br />....................................... <br />Director of Assistance <br />.................................................................................. <br />Signature of Applicant, Next Friend or Guardian <br />