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<br />DL:PARTMENT OF HEALTH, BUREAU OF MAL STATISTICS, WHICH IS Tq LEBAL OEP0$ITORY FOR
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<br />PATE OF ISSUANCE 200204432
<br />SEP 19 1994 STANLEY S. COOPER. DIRECtOR
<br />_ LINCOLN, NEBRASKA BUREAO OF VITAL STATISTICS
<br />STATE OF NEBRASKA - DEPARTMENT OF HEALTH
<br />BUREAU OF VITAL STATISTICS
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<br />DL:PARTMENT OF HEALTH, BUREAU OF MAL STATISTICS, WHICH IS Tq LEBAL OEP0$ITORY FOR
<br />VITAL RECORDS
<br />PATE OF ISSUANCE 200204432
<br />SEP 19 1994 STANLEY S. COOPER. DIRECtOR
<br />_ LINCOLN, NEBRASKA BUREAO OF VITAL STATISTICS
<br />STATE OF NEBRASKA - DEPARTMENT OF HEALTH
<br />BUREAU OF VITAL STATISTICS
<br />CERTIFICATE OF DEATH M„ 4[1.
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