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Last modified
7/8/2017 6:44:17 PM
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7/3/2017 5:44:49 PM
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DUPLICATE <br />OLD AGE ASSISTANCE CERTIFICATE No....A.= 11 .................. <br />........Hall ..................County, Nebraska <br />................ ............. <br />Name...........Minnie„ Schlwach! g.................................................................................. <br />Age ..... 69......... Address .... �J.2.. Eaet Tenth. Grand Island. Nebr. <br />Amount ....... Modified Amount $.....1.6.©0............ $ ................................ <br />Date .... 5.-7..-36..... 2-6.-37 ..... 1s........ <br />This is a true copy of Certificate originally <br />issued. <br />.....Neil... C., VA dexoer..................... <br />Director of Assistance <br />SL <br />(Binned)... Ir1...D Jolen <br />Director of Assistance <br />.................................................................................. <br />signature of Applicant, Nezt Friend or Guardian <br />
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