Laserfiche WebLink
DUPLICATE <br />OLD AGE ASSISTANCE CERTIFICATE No...9'750 ...................... <br />................................ 1 ..................... County, Nebraska <br />Name ..........Lawi )i..Mct.©rpi.gk <br />................................................................................................. <br />Age... 79........... Address..........CS A.. A.,..................................................................... <br />Amount $.....a.0 ..QQ ............ Modified Amount $ ................................ $ ................................ <br />Date.......... I.PP ]?. - 211 ................193 6 <br />This is a true copy of Certificate originally (signecll Irl D. Toler <br />... ..... .......................................... <br />................. <br />Director of Assistance ....... <br />issued. <br />...........Nil....4.e V#MdlfkmO.ar.................................................................................................. <br />Director of Assistance Signature of Applicant, Nezt Friend or Guardian <br />SL <br />