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1 <br />OLD AGE ASSISTANCE CERTIFICATE <br />........................Hal ............................ County, Nebraska <br />Name.....BlRrtha-ZXnegflT........................................................................................................ <br />Age ....6.7.......... Address........60 E,D vi$ioA,Gret?d Island.,Nebr. <br />Amount $1to QQ................. Modified Amount $ ................................ $ ................................ <br />Date ......... A Pr11.1.a....................19.36.. <br />This is a true copy of Certificate originally ...... i a R IT l D . TO l en <br />.................................................... <br />Director of Assistance <br />issued. <br />.............Evil.... Q...Vead.evlaer ............. .................................................................................. <br />Director of Asaistaaoe Signature of Applicant, Next Friend or Guardian <br />a.L. <br />