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<br /> A TRUE COPY Of, AN ORIGINAL RECORD ON FILE WITH TIi;; STATE
<br /> DE.11ARTYlEINT 'OIi jiEJlLTI1. BURFAU OF VITAL STATISTICS. WIIIGII
<br /> I",;71iF LEGAL,,'DEZ'OSITOF FOR VITAL RECORDS.
<br /> UJFIF:Ci(5ii' i=,• ITJ4L STATISTICS ANN ASSISTATtr STATE RF:C:IST'RAR
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