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Last modified
7/8/2017 6:44:50 PM
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7/3/2017 5:44:50 PM
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OLD AGE ASSISTANCE CERTIFICATE <br />Hall ....................County, Nebraska <br />............................................ <br />Name...................... <br />Age .... 83 .......... Address .....7()6..XQrtih..Q18Xk -3Gr'&Ad.... ]Leland slebr......... <br />Amount $......1..1 tQ Q............ Modified Amount$................................$................................ <br />Date........ I.W. ..3.1 ..........................19...36 <br />...(®igned�. Irl D,.T. 01.0n ..................... <br />.... .................. <br />This is a true copy of Certificate originally Director of Assistance <br />issued. <br />NeilC Vandemoer............................................................... <br />.................................... <br />................... <br />......................................°° ° re e1 signature of Applicant, Nest Friend os Guar an <br />;Director of Asdsteaa pii . <br />
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