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DUPLICATE <br />OLD AGE ASSISTANCE CERTIFICATE No . ........ 9:7:fia? ............. <br />............................. P 7 .......................County, Nebraska <br />Name ......... �gjdjx B.Dever <br />............................................................................................................................ <br />Age -T-10— Address....... . 1.724 - SER ti ... 80Y.9 <br />Amount $..7.+..$f.0 .......... Modified Amount $ ..............$................................ <br />Date ..............9.'l.:. 7.....................19........ <br />This is a true copy of Certificate originally <br />issued. <br />� Director of Amaletanoo <br />................. Feil ... 0.,.TAA0A%qqr <br />..... ... ... ......................... <br />Director of Assistance <br />.............. ................................................................... <br />Signature of Applicant, Nazi Friend or Guardian <br />