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WHEN THI3COPYCARPoE3 THERAISED SEAL OF THE NEBRASKA HEALTHAND HUMAN SERVICES
<br />SYSTEM ITCERTFES THE BELOW TO BE ATRUE COPYOF THE ORIGINAL RECORD ON FILEWITH
<br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, VITAL STATISTICS SECTION, WPoCN IS _
<br />THE LEGAL DEPOSITORYFOR VITAL RECORDS.
<br />DATE OF ISSUANCE 200300805 i``"
<br />JAN 1 UAN �ANLEYS. COOPER .
<br />ASSISTANT STATE REOISTRAR
<br />LINCOLN, NEBRASKA HEALTHAND HUMAN SERVICES SYSTEM -
<br />STATE OF NF.aRA.SRA- DFPAR'IMENI OF HEALTH ANO HUMAN SERVICES FWaI AND SUPPORT
<br />YRC STATISTICS CERTIFICATE 2 15464
<br />CERTIFICATE OF DEATH
<br />J"'„ua..SLID - F "DOLE us, e. ArenFOFArr.mw.
<br />Elaine Emma Martha Opp zFemal.e December 28, 2002
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<br />Phillips, Nebraska " "T87 na :<DxDEx�D "" AJune 26,1915
<br />SOCIAL 505- 70- G8t202 -..A, ❑ SEEN., TETENT ®rv.,�wnom. TIRTY, SENT
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<br />WHEN THI3COPYCARPoE3 THERAISED SEAL OF THE NEBRASKA HEALTHAND HUMAN SERVICES
<br />SYSTEM ITCERTFES THE BELOW TO BE ATRUE COPYOF THE ORIGINAL RECORD ON FILEWITH
<br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, VITAL STATISTICS SECTION, WPoCN IS _
<br />THE LEGAL DEPOSITORYFOR VITAL RECORDS.
<br />DATE OF ISSUANCE 200300805 i``"
<br />JAN 1 UAN �ANLEYS. COOPER .
<br />ASSISTANT STATE REOISTRAR
<br />LINCOLN, NEBRASKA HEALTHAND HUMAN SERVICES SYSTEM -
<br />STATE OF NF.aRA.SRA- DFPAR'IMENI OF HEALTH ANO HUMAN SERVICES FWaI AND SUPPORT
<br />YRC STATISTICS CERTIFICATE 2 15464
<br />CERTIFICATE OF DEATH
<br />J"'„ua..SLID - F "DOLE us, e. ArenFOFArr.mw.
<br />Elaine Emma Martha Opp zFemal.e December 28, 2002
<br />ulv AND mF F wm p.xxn n mrrc°rvrpp am BmNav JxDEAi vEnx eiF CF mm y ewe
<br />Phillips, Nebraska " "T87 na :<DxDEx�D "" AJune 26,1915
<br />SOCIAL 505- 70- G8t202 -..A, ❑ SEEN., TETENT ®rv.,�wnom. TIRTY, SENT
<br />BE Ar.J, w... __. rv„„a.waw,. w.. w.w.,ww.,�d„ ❑ .xovywrvm ❑ x. °.no
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<br />EI r wx ux¢,n p ouni - COVxiV OF OEnin
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<br />RE xesDI -.Are 11 roxx.v I an TDwx ox,w,.1wry vxtrT AxD xuxeee A""" "U'S se El-
<br />LEFT
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