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Last modified
7/8/2017 6:47:23 PM
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7/3/2017 5:44:54 PM
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DUPLICATE <br />OLD AGE ASSISTANCE CERTIFICATE <br />4-0-597-1 <br />No.1=537.......... . ........ <br />............................. H.all ........................ County, Nebraska <br />.......... <br />Name .........Rebecca. .... Schroeder ........................... I ................................................................. <br />....... ......................... <br />Age ...... 70 ......... Address ... 1523 ... Xest ... ... laland,Njibr . ............ <br />Amount $..21.00 ................ Modified Amount $................................$................................ <br />Date ....... X.9VO.Mher...23 .. ........... 19.36. <br />This is a true copy of Certificate originally <br />issued. <br />- ........... NAII ..... Q,.VaAdemq.er ............. <br />Director of Assistance <br />SL <br />........... (.41P.A.....Irk. D, T©lea.............. <br />Director of Assistance <br />.................................................................................. <br />Signature of Applicant, Next Friend or Guardian <br />
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