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<br />. STATE OF IOWA \ � -- --
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<br />5eann M. Atkinson DO 1501 E. 10th St Atlatnic, IA 50022 �q
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<br />� This is to certiry that this is a true and correct reproduction of the original record as recorded `
<br />in this office, issued under authority of Cf�apter 144, Code of lowa.
<br />' This copy not valid unless prepared on engraved border dis�laying state seal and signature of the Registrar. J�.�� REG/gT °
<br />� Go. ,..... ,�_
<br />�, �'E� 0 � 209� oF ' � - =
<br />o DATE ISSUED C N REGIS R OF VITAL RECORDS COUNTY �, :. I��A .� �_ __
<br />'� • � : _._
<br />a C3559900 `��9qT'••......•••s�P��y�"�`__
<br />FORM3588-0328C(03I2010) W NING: IT I LLEGAL TO DUPLICATE THIS COPY �°N oF v�tP.�;;;��:_::._:
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