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<br />STATE or NEBRASKA .............. ... ... .......... ........... .....
<br />COUNTY OF j;lALL . ..... .i ;"
<br />I , The. unclersigned Register of Pt\.edsi(lt~~H'
<br />Coun!'}, NebIllSI\3, do hereby certify thaithis is .~ '. .
<br />true copy of the record of the original as the same
<br />lIppe<:rsof record in the office.
<br />In witn~sswh~.'.reOII have hereun. ~1~. mY.. hand
<br />d affixed my o[1lclal sealthls,.. day of
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<br />Lot Eight (8), in Block Seventy-Five (75), Original Town, now City of Grand
<br />Hall County, Nebraska.
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<br />WHEN THIS COPY CARRIES mE RAISED SEAL OF THE NEBRASKA HEAL TH AND HUMAN SE13V/CES
<br />SYSTEM, fTCERTlRES THE BELOW TO BE A TRUE COPY OF THE ORIGINAL RECORD.ON FILE WITH.
<br />THE NEBRASKA HEAL TH AND HUMAN SERVICES SYSTEM, VITAL STA TTSTlCS SECTTON.WHICH IS .
<br />THE LEGAL DEPOSITORY FOR VITAL R"iCORDS. ~_. '.~ ~w
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<br />DA TE OF ISSUANCE p.
<br />2 O. .0.21315 """;' ANLffS:i.COOPER
<br />NOV 22 2002 -. ASSISTANT STATE REGISTRAR . ~ "
<br />LINCOLN, NEBRASKA HEAL TH AND HUMAN~ERVlC~~.1.:"~TJ"'1~(/::
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<br />1123 West Second. Grand Island. NE. 68801
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<br />Jane A. McDonald M.D. 800 Alpha. Grand Island. NE.
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<br />FEB 0 82001
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