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<br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEGAL DEPOSITORY FOR
<br />VITAL RECORDS.
<br />DATE OF ISSUANCE`^'/
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<br />APR C 199?
<br />LINCOLN, NEBRASKA
<br />ST�S�COOPER, DIRECTOR
<br />BUREAU -OF VITAL STATISTICS
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<br />A
<br />IT CERTIFIES THE BELOW TO BE A TRUE COPY
<br />OF AN ORIGINAL RECORD
<br />n
<br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEGAL DEPOSITORY FOR
<br />VITAL RECORDS.
<br />DATE OF ISSUANCE`^'/
<br />(/'j/J�Q�J
<br />APR C 199?
<br />LINCOLN, NEBRASKA
<br />ST�S�COOPER, DIRECTOR
<br />BUREAU -OF VITAL STATISTICS
<br />200209180 STATE
<br />OF BUREAU OF VITAL STATISTICSF HEALTH
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<br />CERTIFICATE OF DEATH rs,, o
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<br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEGAL DEPOSITORY FOR
<br />VITAL RECORDS.
<br />DATE OF ISSUANCE`^'/
<br />(/'j/J�Q�J
<br />APR C 199?
<br />LINCOLN, NEBRASKA
<br />ST�S�COOPER, DIRECTOR
<br />BUREAU -OF VITAL STATISTICS
<br />200209180 STATE
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