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<br />STATE OF NEBRASKA
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<br />WHEN n/lS COpy CARRIES THE RAISED SEAL OF THE NEBRASKA DEPARTMENT OF HEALTN AND
<br />HUMAN SERVICES iT CERTIFiES THE BELOW TO BE A TRUE COPY OF THfORIGINJ?,L RECORD ON
<br />FILE WlTf1 THE NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SER.VICES! VITAL RECORDS
<br />OFFICE, WHICH IS THE LEGAL DEPOSiTORY FOR VITAL RECORDS. 'N~~f,...., 6, ,~
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<br />DATE OF ISSUANCE 20080880 9 ~~~';1fCOOPER
<br />,,'leT 0 3 200S ASSISTANT STATE REGISTRAR
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