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Last modified
7/8/2017 6:46:46 PM
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7/3/2017 5:44:53 PM
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& DUPLICATE <br />OLD AGE ASSISTANCE CERTIFICATE No.8=.572 . ...................... <br />.................Hal ................................... County, Nebraska <br />........... <br />Name............... ........................................................................................... <br />Age ...... 7,0 ........ Address ....... 22-3 ... ... 1-81&nd-j-ge-bir ....... <br />Amount $.....15..0.0 ............. Modified Amount $................................$................................ <br />Date-5.eptzmber ... 1.9 ................19.. . 36 <br />This is a true copy of Certificate originally <br />issued. <br />Njej.-I .... d—VancLemoer .................... <br />, Director of Asxista-6L <br />.......... I;rl ... P-10-1,exl ............. <br />Director of Assistance <br />.............. ................................................................... <br />Signature of Applicant, Next Friend or Go than <br />
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