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444,� <br />OLD AGE ASSISTANCE CERTIFICATE No—A-10.9 .................. <br />........................Ha l ............................ County, Nebraska <br />Name..... 31123 -lam ... KaPatlex-BcLn .......................................................................................... <br />Age....7.Q .......... Address ..... R24 ... E..Ctax.ey.sLGr.and...IBland#Nabz .................... <br />Amount.............. Modified Amount $................................$................................ <br />Date ......... APMU-1-0,9.3L ......... 19 ........ <br />This in a true copy of Certificate originally <br />issued. <br />....... All ..... Q..Vandemex .................. <br />Director of Assistance <br />S.L. <br />D.slalim .................. <br />Director of Assistance <br />.................................................................................. <br />Signature of Applicant Next Friend or Guardian <br />