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Last modified
7/8/2017 6:44:13 PM
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7/3/2017 5:44:48 PM
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DUPLICATE <br />OLD AGE ASSISTANCE CERTIFICATE No. -:31.2 ..................... <br />Hall .......County, Nebraska <br />........................... I .............. <br />............... <br />Name .............Cora E.H1ddleson . -- <br />...............................................................................................:.:........................ <br />Age .... 65 ......... Address.....21 a.E�.��th,....Grand..Island, Nebr,................... <br />Amount $...10.00 .............. Modified Amount $ ................................ $ ................................ <br />Date ...... WaY..� s.............................19....E6 <br />This is a true copy of Certificate originally <br />issued. <br />H ...C.. V.Mdox"P.................. <br />Director of Assistance _f <br />(Signed) Irl D.`jolen <br />.................................................................................. <br />Director of Assistance <br />.................................................................................. <br />Signature of Applicant, Nest Friend or Guardian <br />
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