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DUPLICATE <br />OLD AGE ASSISTANCE CERTIFICATE No . ............. ZrnP-0........... <br />................. Hall ................................... County, Nebraska <br />Name.........4arah..E...P.ace.......................................................................................................... <br />Age..;6.7............. Address...... 2.1.3... E...8th,.Grand... Island ...... Re-br...................... <br />Amount $....... 1b...QQ.......... Modified Amount $ ................................ $ ................................ <br />D ate. AP r 11...1. ............................19--3.6. <br />This is a true copy of Certificate originally <br />issued. <br />................. Nell ... .Q.. uandemo.er......... <br />,Director of Assistance SL <br />( aigned)....InI ..D-Tale.n............................ <br />Director of Assistance <br />................................................................................. <br />Signature of Applicant, Nezt Friend or Guardian <br />