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<br />WHEN TM COPY CARRIES THE RAISED SEAL OF THE NEBRASKA HEALTH AND HUMAAFMMOCES C�
<br />SYSTEM R CERTFIES THE BELOW TO BE A TRUE COPY OF THE ORIGINAL REC0A" -9 E
<br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, VITAL STATISTICSTl�+1lIS
<br />THE LEGAL DEPOSITORY FOR VITAL RECORDS
<br />DATE OF ISSUANCE
<br />APR 2 61999 ASSISTA!WlZrAT 1't t R
<br />LINCOLN, NEBRASKA HEALTH AND HUMAWSERWCES SYSTEM
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