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� WH�3 THI� COPY' �ARR��� THE 1tAISED SEAL QF m�� n��RASKA S�ATE
<br /> 17�PARTMEI�T OF HEALTH, IT CERTTFI�S TH� B�.L�JW TO BE A xRUE CUPX
<br /> OF AAI URZGIPIAl� RECORD DN PTLE W�TA THE SxATE bEPA.RTMfiIT OF HEALTEi
<br /> Bi.TKEEIU dF Z*IT�+I. FTATTSTICS� WHICH �S 1"H� LI:GAL ��O�I'�aRY.FaR
<br /> VTTAL REC�RDS. - -- _ .. --
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<br /> DATE OF I�SUANCE �_ __ �
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