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<br /> WHEN TFqS COPY GAI�S THE RAISED SEAL OF THE NEBRASKA HEALTH AND HIIMAN SERVICES
<br /> SYSTEIY�IT CERT/F�S THE BELOW TO BE A TRUE COPY OF THE ORIG/NAL RE�RD_4N�'IL��V/TH
<br /> THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM,VITAL STATIST���R?N;W!�l/S�l�
<br /> THE LEQAL DEPOSITORY FOR V/TAL RECORD3. _ - ✓ `x � =
<br /> DATE OF/S3UANCE _ ��-
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<br /> DEC 10 1959 �===� _�GQOe��
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<br /> V[!AL STA77SI'ICS
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