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WHEN TH18 COPX CARRIES THR RAISED SEAL OP Tkl� NBBRASRA RTA7�E ,� . ��,~ : -�'�` .--- <br /> ._�.-- =- <br /> ., �__:-__-...--- <br /> ,X. ", � ' .� DBPIIATMEN'P OF HEALTH• IT CERTIFI88 THB BELOW TO SB A TRUE GOPY r�'` � <br /> � � ;_�--_�.-.-- ___�_ <br /> ;� ° ° Op AN ORI(iINAL RECORD ON FILB WITH THB STATE DBPARTM@IT OF HEA1�C'd MAILRQOM � "�' "°"'""'"-� <br /> :;;. BUREl1U 4F VETAL 4�'A�ISTICS� WHICIi IS THB LEOAL DEPOSIT.ORY POR . ' . ..:�.�;�� -:=:.,,---. <br /> VITAL RBCORDS. . : DEC 2 91993 . . -M��Y��=�-v=� <br /> . .. . ,k��--- - <br /> r. ., . �����. ' .�t:,.1_��;,-_�_ <br /> _ ��. DATE OF ISSUANCB ����� `; / " .:r° •'��=•:-rx•- <br /> . „ .. YGV 1 R� STANLBY S. 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