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OLD AGE ASSISTANCE CERTIFICATE No. ........ .O".?03.... <br />........................ a3.1.............................County, Nebraska <br />Name....Q.11Y.41T... L.GiAa.A991................................................................................................... <br />Age... 69........... Address....... A14 N.9bT........................................................................... <br />Amount $..11.00 ............... Modified Amount $ ................................. $ ................................ <br />Date .............. WY.... S .i 19 3.6 .........19........ <br />This is a true copy of Certificate originally <br />issued. <br />Neil C.9andemoer <br />........................... <br />......................................................... <br />4 Director of Assistance O* <br />( signed) Irl D . To len <br />.................................................................................. <br />Director of Assistance <br />.................................................................................. <br />Signature of Applicant. Nest Friend or Guardian <br />