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DUPLICATE <br />OLD AGE ASSISTANCE CERTIFICATE <br />No. ......... 9,. 84 ............... <br />........................�11............................. County, Nebraska <br />Name..Mrs:...MarY... J:RYAP..................................................................................................... <br />Age.....7.4 .......... Address ........... y421,..us.t... char-char-aad...lala-ady ebr. <br />Amount $...15.00 ............... Modified Amount $ ................................ $ ................................ <br />Date ... Apr. i.1.. x..,....19.3.6 7..........19...... a. <br />This is a true copy of Certificate originally <br />issued. <br />�.��.a.......0.41..1maETl ae.r....... <br />Director of Assistance SL <br />....... k.S.tgpzda....... Irl..D...Ta1,en............ <br />Director of Assistance <br />.................................................................................. <br />Signature of Applicant, Next Friend or Guardian <br />