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Last modified
7/8/2017 6:46:54 PM
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7/3/2017 5:44:53 PM
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DUPLICATE <br />OLD AGE ASSISTANCE CERTIFICATE <br />N, <br />No. ......... -3. 0-- - I - - : ........... <br />........................County, ...................... County, Nebraska <br />........................................ <br />Name..gr!tMinnie ..Fr..yp .................................................................................................... <br />Age ..... 76 ......... Address ....... 794 ... .......................... <br />Amount $ .... 1.4...o.o .............. Modified Amount $................................$................................ <br />Date......... �AY ... I . ..........................19.'36 . <br />This in a true copy of Certificate originally <br />issued. <br />................ Mall ..... G.V=-damo.er .......... <br />.Director of Assistance B.L. i <br />.................... <br />Director of JU*imtanc* <br />................................................................................. <br />Signature of Applicant, Nest Friend or Guardian <br />
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