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DUPLICATE <br />OLD AGE ASSISTANCE CERTIFICATE No..49=16441 ........ <br />...........Hall.........................................County, Nebraska <br />Name......... K1169A .RQRA ............................................................................................................. <br />Age ...... 6d ......... Address.... 14.0.7 .... Wes.t....4.1b ..... Graw1Jja1aaaXebr . ............ <br />Amount $................. Modified Amount $................................$................................ <br />Date .......... MaY ... 4 ...........................19..3.6. <br />. <br />This is a true copy of Certificate originally ..................... Director of Assistance <br />issued. <br />..Neil .... Q.-YARd.emoRr ....................... .................... <br />Director of Assistance ULSignature of Applicant, Next Friend or Guardian <br />