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DUPLICATE <br />OLD AGE ASSISTANCE CERTIFICATE <br />No....�=1 3 .................. <br />........................... W1 ......................... County, Nebraska <br />Name........ IiurveB.............................................................................................................. <br />Age ....... 69....... Address ...........24tE.Koen <br />. ...q Island:Nebr........... <br />Amount $..Ake.40.............. Modified Amount $ ................................ $ ................................ <br />Date ............ 5747n36 .......................19........ <br />This in a true copy of Certificate originally <br />issued. <br />81ned) Irl.. D..Tolen <br />........................... <br />Director of Assistance <br />................... X .0.11. ... MW..y.,em.Y..BlR:.............. ..............Q.............. Pp...... ........................................ <br />Director of Assistaaco Si acture of A licca Nezt Friend or Guardian <br />SL <br />