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Last modified
6/20/2013 11:55:38 AM
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6/20/2013 10:41:07 AM
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011-446
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zl�Z6 <br />FIARTMEHT OF HEALTH BY STATE REG+STRAR, CONSTITUTES A TRUE COPY <br />OF TlIE•ORIGINAL (04T6CATE 04 FLE WiTN THE G' ;"' OF VITAL STA- <br />�t t T if <br />TjS� , ST/t;E C&4> 71C' NT OF rCAJI{ K,jv j1 r3 hE LEGAL Cgpc.< Y FOR <br />`. <br />� <br />'�„� <br />�tet'e "of Nebraskan <br />Ectcrcd oa uinenca� indent and i d <br />n '� t � � ' �!� ,� •_- .' . fob'• rbcor�" iii' � (4c0 <br />w 4 Cgec2a oc�1 toa ... dad of <br />+ _ Marc F� . 19 a!� .F....:. <br />'o'clock aed <br />and /�rcco {,,`7ed rood 7711 of <br />r- at <br />fri <br />Fees'4 7 .L?d• eputji ; <br />R.... $ <br />
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