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Last modified
7/8/2017 6:46:50 PM
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7/3/2017 5:44:53 PM
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DUPLICATE <br />OLD AGE ASSISTANCE CERTIFICATE <br />No....A=5?3 .................. <br />........................... H4al ......................... County, Nebraska <br />Name..... Z1M91r..Z.KQX--Ah ........................................................................................................... <br />Age.... 65.......... Address........ Dq]!1PhQA.%K1P!?X! ............................................................... <br />Amount $...1...00 .............. Modified Amount $................................$................................ <br />Date........ 44Y..1.7. ,193.6...........19........ <br />This is a true copy of Certificate originally <br />issued. <br />................... Neil C..S.4mdemaer ....... <br />Director of Assistance <br />SL <br />..(.SAgn <br />ed) ..Irl D.To <br />................................l......en <br />..................... <br />Director of Assistance <br />................................................................................. <br />Signature of Applicant, Next Friend at Guardian <br />
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