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'A <br />■ <br />89...* 104235 <br />WHIN THIS COPY CARRIES THE RAISED SEAL OF TM MATE <br />IMPARTMENT OF HEALTH, IT CERTIFIES THE BELOW TO BE .A =E COPY <br />OF AN ORIGINAL RECORD ON FILE WITH THE STATE DVAitMaT, OF HEALTH <br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEGALAMPOSITORY'FOR. <br />VITAL RECORDS. <br />T. <br />DATE OF ISSUANCE <br />MAY 31 09 STANLEY S* coo TOR <br />V <br />LINCOLN,-NEBRASKA BUREAU OF M' L STATIST-ICS <br />4W <br />alum of WMSTA"vw 89 02159:. <br />sF onTm <br />CENIH �. I <br />w�v "mom tAmy ago WAFM OF <br />son r.. 7' <br />pgc&r &4ward Rank <br />Halg- February 1. 1989 <br />RAT <br />ritiaa <br />nt <br />rmet*"& co"6600"GIAT two <br />• of W,.t Klo nlgF, 681301. -- <br />on-Sonderm IN 'gap land, <br />o Mo 0- 0 o MA I <br />February 1, Igog j Ed* 7w r <br />To A osomod • "m —_ <br />2/6/89 :45 <br />do" "d wd*-%dw as <br />tr.c <br />R 61— U 0 <br />it <br />is (Ow <br />to. 160, INN 147 <br />lammocoo PICK <br />IM 4M IdWO MOM <br />of <br />400 *@dodo At Ono wwrc. 4496"00 pow <br />JVAL_ IM - I <br />Is <br />_1 <br />■ <br />