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Last modified
7/8/2017 6:46:44 PM
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7/3/2017 5:44:53 PM
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DUPLICATE <br />OLD AGE ASSISTANCE CERTIFICATE No...A.,,.712 .................. <br />...................... Hall <br />..........................................County, Nebraska <br />Name, ..... xa.tja ... Edwazds .............................................................................................................. <br />Age ........ 6.9 ....... Address ....................... 20.3 ... Weat...&h...Bt . . ....... Graacl..Island, Nebr. <br />Amount $.........1.7..?. -5-60........ Modified Amount $ ................................ $................................. <br />Date...... X -arch ... 1-y ................. 19 ..... �8 <br />This is a true copy of Certificate originally <br />issued. <br />, Director of Assistance <br />....... Mell ... 0..V&ac1e=.er ...... SL ................. <br />Dir*otor of Assistance <br />............... <br />***' <br />** ....... <br />Signature of Applicant, Next Maud or Guardian <br />
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