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STATE OF NEBRASKA
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<br />WHEN `HIS CORY CARRIES THE RAISED SEAL OF THE STATE OF NEBRASKA,
<br />CERTIRES THE DOCUMENT BELOW TO BE A TRUE COPY OF THE ORIGINAL RECORD
<br />ON FILE WITH THE NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES, b
<br />RECORDS FFICA WHICH IS THE LEGAL DEPOSITORY FOR VITAL RECORDS
<br />Sarah Bohpeplcamp
<br />2 24 0 3 4EAR's NFO
<br />AND HUJMA+N'SERYICESi"
<br />DA7EO ISSUANCE
<br />4/2/2021
<br />LI. CQI.IV, NEBRASKA
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<br />STATE of NEBRASKA.. DEPAR
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<br />CERTIFICATE OF DEKA'
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<br />Baas Female j June 10, 20Cf
<br />Linda
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<br />LaTtd.Islartd, Nebraska
<br />506-40-]331
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<br />Blaine Street., Grand Isla d,•,Nebraska • 68801
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<br />>Stev:t ftusen M.D. 2116 W. Fel
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