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<br />Legal: All of Lot 17 and t_hs Northerly 10 feet of Lot 16, in Concannon
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<br />WHEN THIS COPY CARRIES THE RAISED SEAL OF THE NEBRASKA HEALTH AND HUMAN SERVICES
<br />SYSTEM, RCERTFAESTE BELOW TO SEA TRUE COPY OF ME ORIGINAL RECORD ONFKE WITH
<br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, VITAL STATISTICS SECTION, WHICH IS
<br />THE LEGAL DEPOSITORYFOR VITAL RECORDS.
<br />,2VIV -073 A) � �OF
<br />DATE OF ISSUANCE
<br />JUL 21 1999 ASSISTANT SIA'fE, RE9131RAR
<br />LINCOLN, NEBRASKA HEALTHAND HUMAN SERVICES SYSTEM:
<br />STATE OF NEBRASKA -DEP MTMDYT OF HEALTH AND HUMAN SFA VICES FINANCE AND SUPPORT
<br />WoUF STATISTICS -
<br />CERTIFICATE OF DEATH
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