|
WHEN TIa COPYCARRES TIE RAISED SEAL OF THE NEBRASKA HEALTH AND HUMAN SERVICES
<br />SYSTEM, ITCERTIFESTHE BELOWTD BE ATRUE COPY OF THE ORIGINAL RECORD N FILE WITH
<br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, VITAL STATISTICS SECTION- WHICH IS
<br />THE LEGAL DEPOSITNYFOR WTAL RECORDS. 1"'U �
<br />DATEOFISSUANCCE �ANLEYS. COOPER
<br />JAN 1 0 2002 ASSISTANT STATE REGISTRAR
<br />LINCOLN, NEBRASKA O O 0 0 ry HEALTHAND HUMAN SERVICES SYSTEM
<br />llAlaAi✓ H�ARMDOA {IWROIMNB.VDNYN1MaYQSNMiIm.W AAIOaT
<br />00 05966
<br />L;aalvn.nm ••� � mzaoum ,r
<br />,
<br />Addie
<br />is enheder Famela My 1.
<br />...,
<br />^2000
<br />•
<br />I_ /Y �rwY
<br />�w rra "/
<br />T�93 Pet 7
<br />gcotie, Nehreaka
<br />505-56 -7452
<br />❑ ao�_ ❑ ^•^^
<br />0.
<br />Wadgawcd Cate Canter
<br />ura r
<br />r..
<br />Grand Island
<br />®^ ❑ hall
<br />Y
<br />r. Y. 1
<br />n
<br />N
<br />C
<br />M'MO ,i r.lV VL1Y PHn.�"r_
<br />I nn
<br />� OI'
<br />1--•
<br />T
<br />r1 /M ^ -1,�
<br />Q"
<br />Domestic LL
<br />�puiWi�a
<br />'
<br />Chris
<br />Klein rrisda $°ter
<br />rn.0 /,r�rwrr/�
<br />Harold Langenhedar
<br />537 St. Paul Rd., Grand
<br />Island. NS, 688801 - —
<br />w
<br />7
<br />W „ r
<br />sa tlaw Ma amoci"
<br />a—1 Park ❑ ,
<br />/ �r+ May , 0
<br />Prater.
<br />❑°� ❑°"'^ Grand island. NE.
<br />Apfel- SutlerGaddee
<br />1.123 West Second, Grand
<br />Island. Nebraska 68801 —77�
<br />P,nV MI.r MIr YNOW
<br />M
<br />(j
<br />��
<br />ry
<br />rn
<br />c
<br />S
<br />❑ z.r ❑
<br />❑ w r..Pe ..❑ ^❑
<br />.row..
<br />m..,
<br />s o.nvrrP .A. '°
<br />wrtaozn,P ^. s P,
<br />Ma 1, 2000
<br />m
<br />Ma t , 2000
<br />_ y6:55ar
<br />_�cynr.na,Pmzwm
<br />n..+zowww,rw oaPPOi P,rwYPZnm zcoa.,w.nm
<br />E3— El
<br />awrw Pr�mra.w +z.,..zowo�m„n.mm�� �n... •..
<br />68003
<br />William Landis M.O. 2
<br />Faidley and Island, NE.
<br />m r A,..oMAY
<br />A ^u
<br />52000
<br />WHEN TIa COPYCARRES TIE RAISED SEAL OF THE NEBRASKA HEALTH AND HUMAN SERVICES
<br />SYSTEM, ITCERTIFESTHE BELOWTD BE ATRUE COPY OF THE ORIGINAL RECORD N FILE WITH
<br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, VITAL STATISTICS SECTION- WHICH IS
<br />THE LEGAL DEPOSITNYFOR WTAL RECORDS. 1"'U �
<br />DATEOFISSUANCCE �ANLEYS. COOPER
<br />JAN 1 0 2002 ASSISTANT STATE REGISTRAR
<br />LINCOLN, NEBRASKA O O 0 0 ry HEALTHAND HUMAN SERVICES SYSTEM
<br />llAlaAi✓ H�ARMDOA {IWROIMNB.VDNYN1MaYQSNMiIm.W AAIOaT
<br />00 05966
<br />-So
<br />S
<br />o
<br />Q
<br />r
<br />3
<br />r
<br />a � �
<br />2 v /0.
<br />L;aalvn.nm ••� � mzaoum ,r
<br />,
<br />Addie
<br />is enheder Famela My 1.
<br />...,
<br />^2000
<br />•
<br />I_ /Y �rwY
<br />�w rra "/
<br />T�93 Pet 7
<br />gcotie, Nehreaka
<br />505-56 -7452
<br />❑ ao�_ ❑ ^•^^
<br />0.
<br />Wadgawcd Cate Canter
<br />ura r
<br />r..
<br />Grand Island
<br />®^ ❑ hall
<br />Y
<br />r. Y. 1
<br />Vd. ®r❑
<br />Grand Is1Md 3285 Woodridge Bl r.
<br />NWcaaka gall
<br />M'MO ,i r.lV VL1Y PHn.�"r_
<br />'Y4,.r Yr^rMIVw ,r M.
<br />„+•w,
<br />rwr^r i
<br />/"'19Mte
<br />American """ °'PL° _
<br />r1 /M ^ -1,�
<br />r YWMP,Pr,ln fp �-
<br />Domestic LL
<br />�puiWi�a
<br />'
<br />Chris
<br />Klein rrisda $°ter
<br />rn.0 /,r�rwrr/�
<br />Harold Langenhedar
<br />537 St. Paul Rd., Grand
<br />Island. NS, 688801 - —
<br />w
<br />7
<br />W „ r
<br />sa tlaw Ma amoci"
<br />a—1 Park ❑ ,
<br />/ �r+ May , 0
<br />Prater.
<br />❑°� ❑°"'^ Grand island. NE.
<br />Apfel- SutlerGaddee
<br />1.123 West Second, Grand
<br />Island. Nebraska 68801 —77�
<br />P,nV MI.r MIr YNOW
<br />wr
<br />K
<br />❑ z.r ❑
<br />❑ w r..Pe ..❑ ^❑
<br />.row..
<br />m..,
<br />s o.nvrrP .A. '°
<br />wrtaozn,P ^. s P,
<br />Ma 1, 2000
<br />m
<br />Ma t , 2000
<br />_ y6:55ar
<br />_�cynr.na,Pmzwm
<br />n..+zowww,rw oaPPOi P,rwYPZnm zcoa.,w.nm
<br />E3— El
<br />awrw Pr�mra.w +z.,..zowo�m„n.mm�� �n... •..
<br />68003
<br />William Landis M.O. 2
<br />Faidley and Island, NE.
<br />m r A,..oMAY
<br />A ^u
<br />52000
<br />-So
<br />S
<br />o
<br />Q
<br />r
<br />3
<br />r
<br />a � �
<br />2 v /0.
<br />
|