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7/8/2017 6:47:21 PM
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7/3/2017 5:44:54 PM
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DUPLICATE <br />OLD AGE ASSISTANCE CERTIFICATE <br />40.-461-1 <br />........... <br />...........................Hfal.......................... County, Nebraska <br />Name............. L.e;Xa..J..ReAhler................................................................................................ <br />Age....7.3 ........... Address.... Wood River,Nebr, ............................................................ <br />Amount $..Re j ea.tad...... Modified Amount $...16,:00 .............. $ ................................ <br />Date........ 5. -;R -7: n36 ........................18........ <br />This is a true copy of Certificate originally <br />issued. <br />.......... Nell ..... Q....YM demoer................ <br />Diiector of Assistance <br />SL <br />.....(.919!.kPA) ..rh '....1L.T.Q.1en................... <br />Director of Assistance <br />.................................................................................. <br />Signature of Applicant, Ne=t Friend or Guardian -- <br />
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