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<br />WHEN THIS COPY CARRIES THE RAISED SEAL OF 'PH}i NF.BAASKA STATE
<br />DEPARTMENT OF HEALTH, IT CERTIFIES THE BELOW TO BE A TRUE COPY
<br />OF AN ORIGINAL RECORD ON FILE WITH THE STATE DEPARTIJ� V OF HEALTH
<br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEGAL DEPOSITORY FOR
<br />VITAL RECORDS.
<br />DATE OF ISSUANCE
<br />MAY 24 10 89'"'103753 STANLEY S. COOPER, DIRECTOR
<br />LINCOLN, NEBRASKA BUREAU OF VITAL STATISTICS
<br />STATE OF 14EBRASKA—DEPA11TMENT OF HEALTH /�
<br />serves of Viu►1.%g8tWlr * / 7 //J//46
<br />CERTIFICATE OF DF-ATH Q 3 �y
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