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<br />WIEN THIS OOPYCARRES THE RAISED SEAL OF THE NEBRASKA HEALTNAND HU4MN_SERIOCES
<br />SYSTEµ IT CERTIFIES THE BELOW TO BE A TRUE COPY OF THE ORIGINAL RECGR0_0R^_E WITH
<br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYS TEN, VITAL STATISTICSSECTION WHItnT IS C
<br />THE LEGAL DEPOSITORY FOR VITAL RECORDS. \
<br />DATT1EE1OF ISSUANgCOE0
<br />LINCG , NES19ASWKAO 200306165 HEALTNAND HHURIAANN ST $ERNS $ MAF
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<br />Vti STATISTICS
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<br />j Hall Grand Island 22 Chantilly St 68803 'LJ "
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<br />#22 Chantilly Avenue, Grand Island N b ka ,(t$B03
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<br />j Hall Grand Island 22 Chantilly St 68803 'LJ "
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<br />#22 Chantilly Avenue, Grand Island N b ka ,(t$B03
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<br />Kleine H Funeral Home Aomd- F1 Gibbon Nebraska
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<br />3213 W. North Front Street. Grand Island Nehraaka (,AAn't An Sn
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<br />48th Street, Suite 11800, Lincoln, Ne 68506
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<br />tiq. v 3 1 2000
<br />LEGAL: Lot Twenty Two (22) Block Six (6) Unit Three (3) Continental Gardens,.
<br />an Addition to the city of Grand Island, Hall County, Nebraska
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