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r� <br />DUPLICATE <br />OLD AGE ASSISTANCE CERTIFICATE <br />No. ...... 8.-187 ............... <br />.................. HaU.................................. County, Nebraska <br />Name........ adrs.....Cora:..:1,ftlllama..........................................:........:.............................. <br />Age ......... 65..... Address..............Wood River, Nebr. <br />..................................................................................... <br />Amount $.....1.3.!00............ Modified Amount $..........................$ ................................ <br />Date ..... MfTgc !...?.7.j ......................19...�§ <br />This is a true copy of Certificate originally <br />issued. <br />Neil C.Va.ndemoer <br />.................................................................................... <br />Director of Assistance SL <br />(Signed) Irl D.Tolen <br />............................................. <br />Director of Assistance <br />.................................................................................. <br />Signature of Applicant, Nest Friend or Gu than <br />