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<br /> � Ht1pN THIS COPY CARRI�S THE Ytl1T�5�I1 SE!►L OF TH� NEBRASKA STAT� �
<br /> �IEPARTM�'NT OF HEALT�3�. IT �£R�IFi�S "a'IiE BELQW TO �8 �.�T�QF �EAI�TH
<br /> Og AP1 �RIGINAL RECO�D �ON �'�':i�� �AS� 'THE STATE D�•PAR�
<br /> HURFAi1 aF VITAL STATi3QI�G5�. �7H�C�I IS THE vE4i�►� O�t}'SiIT�1�Y FbR;
<br /> Y ITAT. RECORDS. ,
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<br /> DATE
<br /> OF ISSUANCE . �/��� •..
<br /> APR I6 � ST�NLEIE Si 'CUfiPBR. RY�`�O�
<br /> LINCOI.I�i, I�EBRASKA 813REAU OF YITAL STAT�SrICS
<br /> sTATE �lOf YIT��L=T��TICOi NEAtTM p O O t7�A 3`7
<br /> � CEBTl�iCAT�OF OEATH - . - � °
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<br /> DAnfel H. Sc'h+aie ex Male March 12 1988
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