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<br /> WF�N TFNS COiPYCAIZI�ES TFE RAISED 3EAL OF THE NEBRA31(A HEALTH AND HUMANSE/�II�ES L
<br /> SYSTFJI�IT CERT FES TFE BELOW TO BE A TRUE COPY OF THE OR/Q/NAL RECdRD ON FILE WlTF�!_
<br /> THE NEBRASKA HEALTH AND HUMAN SERV/CES SYSTEII�VITAL STATISTICS SEGi10111�Wl�1(�t 1�.
<br /> THE LEQAL DEP031TORYFORVITAL RECORD� _ �-� -� =
<br /> DATE OF/SSUANCE � ���' _ :
<br /> APR 16 1998 ` ""�'���`°�R=� =
<br /> ASS/STA.N�'STATE REQ/3TRAR`- ' �
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<br /> County, Nebraska
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