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DUPLICAT& <br />OLD AGE ASSISTANCE CERTIFICATE No..A-139................... <br />.............................. M11 ...................... County, Nebraska <br />Name.....1(A n th&...s --ft= .................................................................................................. <br />Age....6.9 .......... Address...... 21... .. ............. <br />Amount $...1 •4Q......... Modified Amount $................................. $. <br />..... ............................... <br />Date ............ APr 11..1: ..................19...361 <br />This is a true copy of Certificate originally <br />issued. <br />........ Neil... C...4sndemQ er........... <br />i <br />Director of Assistance <br />S.L <br />L fit �......Irl...11.201AM............... <br />Director of Assistance <br />................................................................................. <br />Signature of Applicant, Next Friend or Guardian <br />