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WHEN THIS COPYCARRIES THE RAISED SEAL OF THE NEBRASKA HEALTH A
<br />SYSTEM, IT CERTIFES THE BELOW TO BE A TRUE COPY OF THE ORIGINAL A
<br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM VITAL STATIST(
<br />THE LEGAL DEPOSITORY FOR VITAL RECORDS.
<br />DATE OF ISSUANCCEq 2 0 0 ?.118 4 5
<br />AUG 8 ZVIK ASSISrA
<br />LINCOLN, NEBRASKA HEALTHAND NUM
<br />STATE OF NCBRASKA- DEPAKTI=IEHT OF AEAL111 AND HO SO
<br />VITAL STATISTICS
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<br />Ix, INFORMANT _. MMLINAA1oBESS -- IS,NEL 10x N F 1 N1, CITY ON TOWN: ST.TE:Ia -.
<br />303 West 28th Street, Kearney, NE 68845
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<br />Exhibit
<br />3
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