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WHEW THIS COPY CARRIES THE RAISED SEAL OF THE NEBRASKA HEALTH AND HUMAN SERVICES
<br />SYSTEM, IT CERTIFIES THE BELOW TO SEA TRUE COPY OF THE ORIGINAL R=*QRDN9-rqL-E WITH
<br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, VITAL STAT1$M-S-SECi7OkJW1GH IS
<br />THE LEGAL DEPOSITORY FOR VITAL RECORDS.
<br />DATE OF ISSUANCE
<br />0050541 A
<br />MAR 16 2 2, 2005 AStISTANT STATE REGISTRAR -
<br />LINCOLN, NEBRASKA I HEALTH ANOWUMAN SERVICES SYSTEM
<br />STA'M OFNEBRASKA - DEPAR-1MENTOF HEALTH ANDI HUMAN SERVICES -r-INANCK -AND SVPFMT
<br />VITAL STAMS71 ICS
<br />CER'nFICATE OF DEATM 08421
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<br />Francis Morris McGuire Male 3U1,01 1998
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<br />Wood 81 River Nebraska
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