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86- 104853
<br />WHEN THIS COPY CARRIES THE RAISED SEAL OF THE NEBRASKA STATE
<br />DEPARTMENT OF HEALTH, IT CERTIFIES THE BELOW TO BE A TRUEICOPY—
<br />OF AN ORIGINAL RECORD ON FILE WITH THE STATE DEPARTMENT OF`Iiiiiii
<br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEGAL DEPOSITORY fO1(
<br />j VITAL RECORDS.,
<br />DATE OF ISSUANCE
<br />144w* ;f,
<br />AN � � S TAN
<br />LINCOLN, NEBRASKA BUREAU OF VITAL Sikk�iS *CS ',
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<br />Francis 'Louis jwudmvski- ;� Male ; Oct. 4, 1982
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