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DUJPLIOATZ . <br />OLD AGE ASSISTANCE CERTIFICATE <br />..................... <br />............................Ha l ........................ County, Nebraska <br />Name......... QVQ.ZZQ ... ......................................................... I ......................... <br />Age ..... 75 ......... Address ......... 1022..Z..5-th..,rarSA&..InlalAslabr . . .................. <br />Amount $....17....00 ............. Modified Amount $................................$................................ <br />Date ............... APXJ.1 ... 1j .............. 19.3-6. <br />This is a true copy of Certificate originally <br />issued. <br />..................... Nil .... CATINWAOROAX ...... <br />a Director of Assistance <br />s. L <br />.......... (AgAIRM .... U.1 ... P.t.Tod lm .............. <br />Director of Assistanoo <br />.................................................................................. <br />Signature of Applicant, Next Friend or Guardian <br />