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<br />This certiflea thisdocument to be a true copy of an original record on file with Vital
<br />Statistics, Douglas County Health Department, Omaha, Nebraska. Certified copies must have
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<br />Date Issued: JUL 10 2001 Registrar:
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<br />JUL 10 2001
<br />This certiflea thisdocument to be a true copy of an original record on file with Vital
<br />Statistics, Douglas County Health Department, Omaha, Nebraska. Certified copies must have
<br />a raised seal In the area to the left. Reproductions of this green certlflca to are not
<br />legal copies. ■p t
<br />Date Issued: JUL 10 2001 Registrar:
<br />
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