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<br />THE NORDRIEST QUARTER OF THE NORMIEST QUARTER OF THE NORI r-MT QUARTER
<br />r OFMSECCN qR 4) INN T SHIP ELEVEN (11) NORTH, RANGE NINE (9) WEST OF THE 6TH ftRASKA
<br />1 W h I GtOPY CARRIES THE RAISED SEAL OF THE NEBRASKA STATE
<br />DEPARTMENT OF HEALTH, IT CERTIFIES THE BELOW TO BE A TRUE COPY
<br />OF AN ORIGINAL RECORD ON FILE WITH THE STATE DEPARTMSN.T.67 HEALTH
<br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEGAL DEPOS'ITORVIFOR.,
<br />VITAL RECORDS.
<br />DATE OF SSU(�.� .
<br />.IAN `7 ly STANLEY S:, .COOPER, D*13B TOR
<br />LINCOLN, NEBRASKA'. BUREAU OF VITAL: STATISTICS
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