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DUPLIQATZ <br />OLD AGE ASSISTANCE CERTIFICATE No..A19.9:.................. <br />........................ Heal ............................ County, Nebraska <br />Name..... RidAPA... &MAIr...................................................................................................... <br />Age.... 73 .......... Address ......... t.&M............................................................................ <br />Amount $... 15*.Q.0 ............... Modified Amount $ ................................ $ ................................ <br />Date ...... MAY ..1.s.I936 ..................19........ <br />This is a true copy of Certificate originally <br />issued. <br />...........eil....(3, 9dn0®r.............. <br />Director of Assistance <br />S.L. <br />.............. 4.. D:Toler............. <br />Director of Assistance <br />................................................................................. <br />Signature of Applicant, Next Friend or Guardian <br />