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<br /> WR3.IIv;`�`liY.FH�.��Y�CARRIES 1'�iE RPi7SED SEAL OF THE NEBRASKA STATE ��0�7�1
<br /> DF...'�r'�,.,�i.'�'1�1��'��f3�� I�EALTH, ZT C�RTIRIES TAE BELOW TO BE A T�iIJE ��P�
<br /> _ �� 0��'� 1�g:G��.��i'�,.RF.��RD ON FILE WITH THE STATE DEPART!lEKT OF HEALTNl �
<br /> ��,��3'I��OP: {FZ'�"�.+L�..�.i/b.'�a&TYCS, WdICH IS THfi I.EGAL DEPOSITQRY k'OF •
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<br /> - ��p7,�, ��g��� BUREAU OF VITAL'S��IS�aCS
<br /> STATE OF NEDRASICA—OEPAHiNENT dF HEAlTH
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<br />._ ,� CKEC�T-wyE ��RST Y..^DLE U�ST �2 SEK '�7�TE0%7:J�TN ((hri'OJl YfY!
<br /> ' � Tbomas Edward Holdt Sr. + MaIe December 24 1989
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<br /> � Simonson-Williams 241 W. 4th - Red Cloud NE 68970 . -�s-
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