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<br />WHEN THIS COPY CARRIES THE RAISED SEAL OF THE NEBRASKA HEALTH AND HUMAUSERVICES
<br />SYSTEM, RCERTIFIES THE BELOW TO BE A TRUE COPY OF THE ORIGINAL RECfT1=lL1ITH
<br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, VITAL STATISTI S y IK i17S
<br />THE LEGAL DEPOSITORY FOR VITAL RECORDS.
<br />DATE OF ISSUANCE
<br />t--mCVY X 60- OP-.F. R
<br />FEB 2 4 2000 assn TSrd REGIST
<br />LINCOLN, NEBRASKA HEALTH AND HOW N SEWCES SYSTEM
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