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DUPLICATE <br />OLD AGE ASSISTANCE CERTIFICATE No....6-6.1...................... <br />.......................... Iftil......................... County, Nebraska <br />Name..... JCft&T 3-..2..X..A1.ZoXd................................................................................................ <br />Age .....72.......... Address ...... !;M;F!i.?.N/br.......................................................................... <br />Amount 15.-00 .............. Modified Amount $ ................................ $.... <br />Date...... 4449 ... ??...t .......................... 19.��. <br />( Signed . Irl D. Tol en <br />This is a true copy of Certificate originally ......... Director anoe....... <br />Director of Assl.taaw <br />issued. <br />..........111 1....O..Y..az dawar.................................................................................................. <br />Director of Assistance Signature of Applicant, Nezt Friend or Guardian <br />SL <br />