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001-054
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Last modified
7/8/2017 6:45:01 PM
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7/3/2017 5:44:50 PM
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DUPLICATE <br />OLD AGE ASSISTANCE CERTIFICATE <br />No......... &-1 ................... <br />................................ Hal1..................... County, Nebraska <br />Name.......Rhoda,.BelleāRenolds..................................................................................... <br />Aqe....6.6........... Address....... Grand Islands Nebr, <br />Amount $.. 5?.00............... Modified Amount $ ................................ $ ................................ <br />Date ..... March... ,....................... .19 ... 6 <br />This is a true copy of Certificate originally <br />issued. <br />Neil C.Vandemoer <br />.................................................................................... <br />. Director of Assistants SL <br />(Signed) Irl D.Tolen <br />...................................... <br />Director of Assistance <br />.................................................................................. <br />Signature of Applicant, Neat Friend or Guardian <br />
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