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7/8/2017 6:47:26 PM
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DUPLICATE <br />OLD AGE ASSISTANCE CERTIFICATE- .................... <br />...................... B)Af f.41.9 ..................... County, Nebraska <br />Name ...... ;Lq.rq,§jyers Ayers <br />Age ..... 7.9L ......... Address ............ Shelton.Webr. <br />.................................................................................................. <br />Amount $ .... Wx.5.9 ............. Modified Amount $ ................................ $.. <br />Date .......... J.=.4 ... Z2.1937 .......... 19 ........ <br />This is a true copy of Certificate originally <br />issued. <br />.......................................................... <br />, Director of Assistance <br />Neil C.Vandemoer <br />................................ I ................................................. <br />Director of Assistant* <br />SE <br />.................................................................................. <br />Signature of Applicant, Next Friend or Guardian <br />
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