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<br /> WHEN T IS COPY I:ARRI�THE RRiS�U �1:AL UF `1H� N�BI2ASKA STATE
<br /> � UBPAKTti�,NT OF HEALTH. IT CERTI�IE3 THE BELQ�i �O BF A TKUB COPY �
<br /> �F AN ORIGINAL RECORD ON FILE WITH THB STATB I�EYARTlIENT OF HF,AI,TH
<br /> BURfiAU OF YITAL STATISTICS. WHICH IS THfi LEGP►L• .D�09IfiORY FO��� i ����e
<br /> VITAt. RECORDS. �� y V
<br /> AATE OF ISSUANCE e � _� ,
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<br /> OEC 13 � STANLEY :S. COOPBft,;.DIRECTOR
<br /> LINCOLN, NEBRASKA ,�UREAU 0;�'�.VITAL STATISTICS
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<br /> STATE OF NE�RASKA-OE►AIITlUENT Oi NEALTH 82 QOSS3
<br /> WREAU Of VITAL sTATliTICf
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