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<br />2006>07081 <br /> <br /> <br />A02997692 <br /> <br />This is a true and correct copy of the official record on file in the Office of <br />Vital Statistics, Topeka, Kansas, certified on the date stamped below. <br /> <br />?m~ APH 21 PH 1:5qi~ /1... ~ <br />ry'Lrne A. PhilliP~ <br />State Registrar <br />Officc of Vital Statistics <br />Depm1ment of Health & Environment <br /> <br /> <br />It is in violation of KSA 65-2422d(g) to "prepare or issue any certificate which purports to be an <br />original, certified copy or copy of a certificate of birth, death or fetal death, except as authorized <br />in this act or rules and regulations adopted under this act." <br /> <br />CERTIFIED COPIES WILL BE PRODU€ED ON MULTl;COLOR SECURITY PAPER. <br /> <br /> <br /> <br /> <br /> <br />