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<br />DEPARTMENT OF HEALTH, IT CERTIFIES THE BELOW TO BE A TRUE COPY
<br />OF AN ORIGINAL RECORD ON FILE WITH THE STATE DEPARTMENT OF'HkALTH
<br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEGAL DEPOSITORY FOR
<br />VITAL RECORDS •
<br />DATE OF ISSUANCE
<br />SEP 11 10• STANLEY S. COOPER, DIRECTOR
<br />LINCOLN, NEBRASKA BUREAU OF VITAL'STATISTICS
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<br />Cowden Maurice Maisch
<br />, Male September 1, 1990
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