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<br />WNENTHIS COPYCAARR:S THE RAMED SEAL OF TNENEERASKA STATE DEPARTMENT OF HEALTH,
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<br />DEPARTMENT OFHEALTN. BUREAU OF ORAL STATISTICS, WHICH LS THE LEGAL DEPOSITORY FOR
<br />VITAL RECORDS.
<br />DATE OF ISSUANCE 2 0 0 4 0 0 6 0 9 STAN EY 8. COOPER
<br />JUL 2 0 1995 ASSISTANTST TEREGBTRAR
<br />LINCOLN, NEBRASKA NEBRASKA DEPARTMENT OF HEALTH
<br />STATE OF NEBRASKA – DEPARTMENT OF HEALTH
<br />BUREAU OF VITAL STATISTICS -
<br />CERTIFICATE OF DEATH
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<br />WNENTHIS COPYCAARR:S THE RAMED SEAL OF TNENEERASKA STATE DEPARTMENT OF HEALTH,
<br />IT CERTIFIES THE BELOW TO SEA TRUECOPY OFAN ORIGINAL RECORD ON FILE WITH THE STATE
<br />DEPARTMENT OFHEALTN. BUREAU OF ORAL STATISTICS, WHICH LS THE LEGAL DEPOSITORY FOR
<br />VITAL RECORDS.
<br />DATE OF ISSUANCE 2 0 0 4 0 0 6 0 9 STAN EY 8. COOPER
<br />JUL 2 0 1995 ASSISTANTST TEREGBTRAR
<br />LINCOLN, NEBRASKA NEBRASKA DEPARTMENT OF HEALTH
<br />STATE OF NEBRASKA – DEPARTMENT OF HEALTH
<br />BUREAU OF VITAL STATISTICS -
<br />CERTIFICATE OF DEATH
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<br />Fc:neNT. NAME –
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