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89104524
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Last modified
10/20/2011 9:08:43 AM
Creation date
10/20/2005 9:55:16 PM
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DEEDS
Inst Number
89104524
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41 L <br />f. <br />WHEN THIS COPY CARRIES THE RAISED SEAL OF THE NEBRASKA STATZ- <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 HIALTH <br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEGAL: DEPOSITORY•FOR <br />VITAL RECORDS. <br />DATE OF ISSUANCE <br />'1 <br />AU82 I STAND - COOPER, 4 "CTOR <br />� <br />LINCOLN, NEBRASKA .ftATISTICS <br />104524 <br />_qrAw w mm&mA_mwAwnwffww" <br />n.0'QT66 <br />r_8r1M1r1r_A?r OF 10FATW: <br />1140 <br />.ow <br />•st 7 in <br />AlfAlti-Ii 1,, thf• City (pt (.ran(! <br />STATE 0'r NEIIJP;..SKA, y ju'L A <br />Filed for <br />t <br />1"��i <br />60=0 Isis wow 9 DAN OF omm foolmo. 10016 . WOW* <br />OW44 own '2D 2 1 1" Hail <br />• <br />ij=r C!r 31,11i" <br />L <br />69AM <br />SL p; <br />� 9ff 00 06 IMAM. em =10w me wmm 9 <br />lmmw Cm How" as 0� <br />• <br />Grand Island <br />Omer f" ON M I <br />s. Yes w. Lutheran Hosplud—. <br />IL <br />JoW 4w~cw-mm <br />iwAmmm - TIZAARM d.1 Ift'got <br />I <br />I <br />No'braska Usk <br />D..j m pp ovagm# is rn&-Wtebmm <br />: L arswo-1 <br />• <br />ocomprAmod <br />F <br />4004 and 0 <br />%6-26-1769 dcoover Ho— <br />So <br />wowmox_•ymm cowm <br />M 90CA"ON wm mm <br />Grand Island 22 X. Lmbert <br />%0064" OWNS <br />fw moms VAN <br />Henry <br />Franseen N zit"both — Eller <br />_p= ADM U 1~ 00 $-#a. so., com so NW A% W100 wo <br />-#A"—msgafpo~ <br />Fred VIchumn Husband Ila 9P2 N. Lam bert Grand I•landi -NabreeYa 6950I <br />owmam"m NMWAA <br />ftA nAmwASCMANOW. <br />omw ow cam M we Me fox 0& <br />age MAIN <br />cam- <br />M W*—W6� <br />W. <br />$doom$ <br />R <br />E; no a <br />M041 "I"T occvM low" MAN" op mmff "s 040 41*8 fto k a'" set <br />na <br />so <br />p~ mom ROO C-PIZM SO <br />• 0 0. so. cm em ISON6 <br />1140 <br />.ow <br />•st 7 in <br />AlfAlti-Ii 1,, thf• City (pt (.ran(! <br />STATE 0'r NEIIJP;..SKA, y ju'L A <br />Filed for <br />t <br />1"��i <br />
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