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STATE OF NEBRASKA <br />WHEN THIS COPY CARRIES THE RAISED SEAL OF THE NEBRASKA DEPARTMENT OF HEAL'TH'AdHD <br />HUMAN SERVICES, IT CERTIFIES THE BELOW TO 8E A TkUE COPY OF THE O(�TGIdV�AL''�l��CQRL� b111; . <br />FILE WITH THE NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICE.�, yTl°AG �F�Q,RD$ -��,: : s � <br />OFFICE, WHICH IS THE LEGAL DEPOSITORY FOR VITAL RECORDS. �,`. �:,,�'�. q' � ,� , <br />, v • <br />, . ',, <br />DATE OF ISSUANCE . +' � , �' a : ; <br />57"R;i�tL�?' CfQPf'R ;' • ,�. . �� <br />5/17/2012 � O�� O 4 3�� D� �T.MENT OF KEALT,H �D ,, <br />LINCOLN, NEBRASKA HLJ'NIA"IFI ��L1lICE5 ,, °� ' � - ' <br />` ..�'t r r , <br />t �`1°4 <br />p � y � ,y ��� �y l '� . !' ry ., 74 , ~�, �,� .... " <br />'� ��Yr " F 7 ! � ] "' ��� �� �f. / <br />N�11 OR Y111'AL 8'fATi��IC�' ' ', <br />l��!Yl� 11i �ti�TY " r'� � r M `.i <br />