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<br />1 Wm THIS-copy HE SAWWe &A1 OF THE NEBRASKA S TAT
<br />DEPARTKINT OF HEALTH, IT CERTIEIRS THE BELOW TO BE A T1tU�'CORY
<br />OF AN ORIGINAL RECORD ON FILE WITH THE STATE DEPAATK8NTVp.Vja� `
<br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEGAL DEPOSkt1 RY FOR, " -!,
<br />VITAL RECORDS.
<br />DATE OF ISSUANCE
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<br />LINCOM, NEDIP" BVR"V OF "TAL STATISTICS
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