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zl� � <br />OLD AGE ASSISTANCE CERTIFICATE <br />No. ...8=364 ................... <br />....................... Mal ............................ County, Nebraska <br />Name.... IdIL.Atce .......................................................................................................................... <br />Age ... 66 ........... Address ........ no .... ... St,.,,-G3:&nd ... LBund-imebr. <br />Amount $..J&DO .................. Modified Amount $................................$................................ <br />Date ......... J)AAjv.P-.,1q36 ............19........ <br />This in a true copy of Certificate originally <br />issued. <br />...............Nail.... C.-Vandemomm ............ <br />Director of Assistance <br />S.L. <br />......(,8;1aAvA) ... 191 ... A A.T.9 1.0.34 ................... <br />Director of Assistance <br />.................................................................................. <br />Signature of Applicant, Next Friend or Guardian <br />