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78003086
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Last modified
7/16/2017 11:38:04 AM
Creation date
9/16/2014 11:48:25 AM
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DEEDS
Inst Number
78003086
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� � <br /> I � � <br /> When this copy carries the raised se�ai of thr Nebrask� St•rtr <br /> Department of Health, it c:s�rtifles the below to be a trur ro}�y <br /> of an original x�cord, on �Ie with the Statr� Dtpartment ol <br /> Health, Bum�4��f�V�ta1 Sfatistics;`which is the leeai depo+itc>ry <br /> for vital rec�rds .,� z r <br /> s'a ��; I�'�;i�.�i3�:.�1ii <br /> Date of Is�ance �; <br /> .:= �/1-Gct.et. <br /> ,: .. ' <br /> ,.. � .. - -----------._. ._.._ <br /> May 17;;` 197$ ,,,_ D'vrctor <br /> Lincoln.Nebra�R�..`' �:Bureau of Vital Statistic: <br /> ;w'- <br /> , � <br /> � sr,nsa��ow�►-sa��nswro�au.� ,� �,. <br /> ��rd�Ir1 Wr <br /> esRnnewn oF aa►TM �� <br /> va�wLrr sa�.�.tia o3ru.. .sw.�. .wa•=�. 197z• <br /> '.,�.���. oer�sr. <br /> � �M � '�.�. �s 3l90 1�i1 . <br /> • ��.� .��... <br /> ��I�1�0� M� 1euM ...�....r.� <br /> � yY "��' wsr.�a.�w.� � <br /> ��..aw..�.'�"� qC 8e� . <br /> yul OeYt S�ld ...�le =ouM I2 <br /> a g�p y �m� � 8�3�s <br /> .rr ra� <br /> Ms 1Nft� • 6r�M�S�l�ndsl�- •••. • � <br /> .��wre��w.. rra�•wca+�rierr..��� <br /> � t j <br /> ..���s� � • . . . j <br /> �w�+..... � . <br /> M . ., <br /> ...�I��Y���Y��l������M�orM� ��� �� �� ��i��� <br /> �e���A r�Y <br /> • �r. �Op�M1��0[l�'�.����r�������r � <br /> OY�MI���Y�� <br /> � bt0� •�������.ow�wa�+. <br /> r��� ��_w.��a�� � <br /> �w� — _ — ��rw�� �'�_ <br /> � � — '�Y r w r � <br /> g� C.��.�..�.�.� Y. D. tl <br />� '� � ' � <br />� � "O' 2l07 � ,���. <br />, � �' . _._......_. <br />� _..__ <br />� <br />� <br />( <br /> � , � � <br /> � <br />
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