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DUPLICATE <br />OLD AGE ASSI§TANCE CERTIFICATE No. ...... 8T4:41 ............... <br />..............................NAA ......................County, Nebraska <br />Name........J.Ulla...F..."�arner..................................................................................................... <br />Age .... 71.......... Address ........ 2.32.5-N.orth... Lafayette..Aue....,....Gra.nd..Island <br />Amount $...,5_.Q0 ................. Modified Amount $ ................................ $ ................................ <br />Date ........ X&Y ..16., ........................19...36 <br />This is a true copy of Certificate originally (Sigae.d-j...Ir.1....D..TAS.en........................... <br />Director of Assistance <br />issued. <br />................... Kell ..... C Vaademaer........................................................................................... <br />, Director of AssistancBL Signature of Applicant, Next Friend or Guardian <br />