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I� CERTIFIE3 THE BELOW TO BE A TRUE COPY ,. � <br /> OF AN ORIGINAL RECORD ON FILE i1ITH Tl1E STATE DEPARTtdENT OF HEAI.TH O!� ;,',c " �� �' <br /> BUR.EAU OP VITAL STATISTICS, WtIICH IS THE LEGAL DEPQSITORY FOR , � <br /> � •�,.:�—_. <br /> ' VITAL 1tECORDS. . .. .�:�;�'�;-„�,-�_ <br /> .. � ��0� _ . � �_��- <br /> � . . A <br /> D��oI��E �- � . _. <br /> STANLEY S. COOPER, DIRECTOR • •y�`::�i:.,,__ <br /> • LINCOLN. NEBRASKA BUREAU OF VITSL STATESTIC&' ,. , S'`-�' <br /> �..�::— <br /> � , rt;:C4�• <br /> BTATE OF NEBRABKA-OEPARTMENT OR NEALTR {� A -,, ;,r ��'-���- <br /> OURFJIU OP YITAL BTA?I8TIC8. r �V 0 2�/5 O , •:"j, <br /> CHRTIRICATH OF DEATH}- <br />_ - r{�I'f{KMf.M�Y( f CSt WDOIl IABi I 6Et l OAT[Qi OEATw MT�N Gl YIYI _ �.���:. <br /> � , <br /> ..�_.._:., '_., _ . <br /> Richard S. 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