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201204630
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Last modified
6/28/2012 4:21:28 PM
Creation date
6/12/2012 9:00:52 AM
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DEEDS
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201204630
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� <br />} =y . <br />STATE OF NEBRASKA <br />WHEN THIS COPY CARRIES THE RAISED SEAL OF THE NEBRASKA DEPARTMENT,�� ME4LTH AND <br />HUMAN SERVICES, IT CERTIFIES THE BELOW TO BE A TRUE COPY OF THE ORfCINy4�.11�E�ORLJ ON , <br />FILE WITH THE NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES; IfJ7�A�. RECORD,S ;', , <br />OFFICE, WHICH IS THE LEGAL DEPOSITORY FOR VITAL RECORDS. �:`"., �. ���� `�'' •• ' <br />; <br />DATE OF ISSUANCE _ . . ' , , + �' <br />Srl�AILEY OOPFR �� '' � <br />�� � � �u�� � O 1 � O `t V � O D�'PR�TJ�'IENT OF HEA� �VfJ•; , <br />LIIVCOLN, NEBRASKA Hl.�M�kl S�'R�1'CES "' <br />�. � ��,� `: �, � , <br />�.R�Q�. ��t�fFl�i.i� • �,?��,T '' <br />�i���� � k � �'i����7��V:��"�fl2 <br />� �°".°_ �"�`., " r ' a�r; W <br />�1� ��.a� ��r'� 14���e � F��ti�e� _�, 1�9r' . <br />z <br />�: �t� � t�" a J� �8, �$33 <br />�s#f?-�3�r-�t7� � ❑'AU�* �' �) +� <br />� � awaw � � <br />��� �+� �� ����� ❑ Cql► � dlwL�!" <br />VE� .i�i311tEQ <br />I�sc�uslt� HeYl <br />�ia�M+ r, � � <br />ws}e� � !�i°yl <br />M <br />„� � ,� � Aall <br />.. a� �o <br />����a a.i8aa 1213 I�. �here�am 6��03 <br />A�1�� 9""t � 191a1R�t7R8PAU3� ��D <br />�y� 10� lJ <br />iner "I P �'1aa�cED T.n1lnr�na Ma9� <br />��.o� � �s..aAw.sasa.■�y <br />�. �t.e�xat�L- �rB� <br />�L <br />� �e•»w� <br />Livin$sroa-��nclernnnn �.H. <br />�� aea.c+rc <br />601 N. &lebb �d�, Gxand Ial <br />�� <br />"'�'�t' �. : � .. .� _ <br />•� <br />° -4a S �w�.� d •� <br />.o. a�nnivaaa�tAan �pb.� <br />� � � � <br />❑ 6re� � i+�tt�g � MIURYA71M0lIII � <br />❑ �' �Ilm� W111 � 11p ❑ <br />2fa6�?EOi06lTl1 qp.(y1'Yi/ <br />g X FEBF�1AF�i`' 4, 1997 <br />�� r �ra o�r� sm� ww ar ,Y, � n <br />�� � X FEBRUARY 5, 1997 <br />�ro Tuu.e�ea�r�+,oweopa «crMwerw�,�iis <br />� �e <br />r+0 TAy P <br />2Yi OvD�081WC9119ECOMIAlUYESOTE TI/? <br />�� � YE$ ❑ M6 �ld�OqVJb <br />W. <br />Q e� �j a�m Feb . 8 1997 Grand Ia <br />�+a �oacaeraroar�oc��t � <br />�°°*� ❑°°q �sand Ialaad, ATebraska <br />AT6,� <br />Pie . 63�03 <br />t S�c. 1 um;;ana, <br />�_ ta4 <br />tdr!rtlDOQl.IlLlory ��6g. <br />.� ..,.. �..� _w.,..,.. <br />� ' v� <br />--r <br />������ <br />; <br />� ����� <br />� <br />� <br />4 g-AtJf1PP$a' . w'9 W.iS�'•ASERERBIAEDTOAEpC <br />tnt9? � �OR�H�AEA+ <br />ao � rea rw v�s ❑ No <br />r OCCUa+AED <br />&Fi�ET7fIRF.DPq CITYQRTQWN $FATE <br />� B�� I <br />�� y sac aa.oNaax�n o�o n� aa. v. � � �ea �aea+,cEO o�w d <br />H �8 <br />� � a <br />� O�MWwalmanen9EnnanOan�e�eypqn•mmYO�im^MY+ocnr`i0Y <br />a 7hemn0.mleWWK71i�CdIBbUtCfWll01]YI[d <br />�n0 Tqfe <br />r48UE TqNBEEN�FRE?� J00 WASCQNSENtGfl1UdTED� <br />� YES �NO � � tf5 � F6� <br />wr�v� ;vra+a++mn <br />�.GRANO ISLAND NE 68802 <br />�. <br />t �ti <br />
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