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<br />WHEN "*S COPY CARRIES THE RAISED SEAL OF THE NEBRASKA HEALTH AND HUMAN SERVICES
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<br />TH2 NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, VITAL STATISTICS SECTION, :WHICH IS
<br />THE LEGAL DEPOSITORY FOR VITAL RECORDS. - -
<br />DATE OF ISSUANCE
<br />- A� RA 2 0 0 l L 3 J O C �
<br />NOV 2 8 2001
<br />,ASSISTANT STATE REGISTRAR
<br />LINCOLN, NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM
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<br />TH2 NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, VITAL STATISTICS SECTION, :WHICH IS
<br />THE LEGAL DEPOSITORY FOR VITAL RECORDS. - -
<br />DATE OF ISSUANCE
<br />- A� RA 2 0 0 l L 3 J O C �
<br />NOV 2 8 2001
<br />,ASSISTANT STATE REGISTRAR
<br />LINCOLN, NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM
<br />i
<br />SUTE D/a�•• SrC� !'nOlTOl1?ALIRA)maL'YAN>fiY1Q'l TOUNCi A>m A.PIO[T �'
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