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10-6�� <br />OLD AGE ASSISTANCE CERTIFICATE <br />No...A-n5..1$ .................. <br />.............................. &11.......................County, Nebraska <br />Name..... 44r.Y..UWNArt.............................................................................................................. <br />Age .... 7.0.......... Address .....423. ... leapt...Aiaiaion.4rand..Islandslabr... <br />Amount $... 13-- QQ............... Modified Amount $ ................................ $ ................................ <br />Date ........... !T ..1 4.1 ..................19...36 <br />This is a true copy of Certificate originally <br />issued. <br />...................... .... Q.R!and. eT.... <br />Director of Assistance a* <br />�Stgned) Irl. D,T......ole......n <br />............. <br />Director of Assistance <br />.................................................................................. <br />Signature of Appiioant, Next Friend or Guardian <br />