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Ap� <br />OLD AGE ASSISTANCE CERTIFICATE <br />No. ........ 6=R? ............... <br />............................... g1.1....................County, Nebraska <br />Name.......... MwxlCSB... fthwa.................................................................................................... <br />Age ...77........... Address.... .................... <br />Amount $..1.1!.©Q ............... Modified Amount $ ................................ $ ................................ <br />Date........ MAY ...I.: ...........................1936 <br />This is a true copy of Certificate originally (. 9 igned } Irl D . �'O 1 C A <br />...... ... .... ................................................ <br />Director of Assistance <br />issued. <br />..........X.0.11...q.R.vaz 4.ftQ6X.................................................................................................. <br />Director of Assistance T Signature of Applicant, Next Friend or Guardian <br />L <br />S . <br />