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/ y� W,ENn ASCOPYCARRIESTHEAAISED SEAL OFTHENEBRASKAHEALTHANDHUMANSERVICES
<br />5 SYSTEM, TTCERIVWS THE BELOW TO BE ATRUE COPY OF THE ORIGINAL RECORD ON FILE WITH
<br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, VITAL STATISTICS SECTION, WHICHIS
<br />THE LEGAL DEPOSITORYFOR VITAL RECORDS
<br />DATE OF ISSUANCE AaEYS COOPER
<br />JUL S1 -
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<br />/ y� W,ENn ASCOPYCARRIESTHEAAISED SEAL OFTHENEBRASKAHEALTHANDHUMANSERVICES
<br />5 SYSTEM, TTCERIVWS THE BELOW TO BE ATRUE COPY OF THE ORIGINAL RECORD ON FILE WITH
<br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, VITAL STATISTICS SECTION, WHICHIS
<br />THE LEGAL DEPOSITORYFOR VITAL RECORDS
<br />DATE OF ISSUANCE AaEYS COOPER
<br />JUL S1 -
<br />200310353 as HUMAN SERV=EG/$TIWR-
<br />LINCOLN, NEBRASKA HEAL iH AND NUMAN'SERYICE$_' &YSTEl1( =.
<br />�p>
<br />STAR OF HE6MSEA, OEPA0.ThRM OF f TH ANH HHMAN SEWaCESIEWAKE MID MT X8 -72
<br />VITAL STATISTICS a -_ -_
<br />CERTIFICATE OF DEATH ` - - - -_
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