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Last modified
7/8/2017 6:45:10 PM
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7/3/2017 5:44:50 PM
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DUPLICATE <br />OLD AGE ASSISTANCE CERTIFICATE No. ...... 9-432 ............... <br />..............................Hall. .......... .............County, Nebraska <br />....... <br />Name..........John .....Mead...................................................................................................... <br />Age ..... 72......... Address ......Palme� House, Grand Isla.nd,Nebr. <br />...................................................................................... <br />12.00 <br />Amount$ ................................ Modified Amount $ ................................ $ ................................ <br />Date....... June ..1.8., . ...................... 19 ..... .3.6 <br />This is a true copy of Certificate originally <br />issued. <br />Neil C.Vandemoer <br />...............................................................................3L <br />Director of Aasiatonce <br />(Signed) Irl D.Tolen <br />.................................................................................. <br />Director of Aasiatance <br />.................................................................................. <br />Biyaature of Applicant, Nezt Friend or Guardian <br />
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