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<br />WHEN THZS COPY CARRIES THE RAISED SEAL OF THE N'EBRA5KA
<br />STATE DEPARTMENT OF :IE:ALTH, IT GERTIFIE5 THE ABOVE TO BE
<br />A TRUE COPY OF AN ORDINAL RECQRD ON FILE WITH THE STATE
<br />DEPARTMENT OF HEALTH, BUREAU OF L•'ITAL STATISTICS, WHICH
<br />IS THE LEGAL DEPOSITORY FOR 4ITAI. RECORDS.
<br />DIRECTOR OF VITAL STATISTICS AND P.SSISTANT STATE REGISTRAR
<br />LINCOLN! NEBRASKA .sued `;eptela14er 14, T97~3
<br />Subscribed and sworn before me thisLQth day of January, Ig8I
<br />(rEIYitffl~Mltl3ls is a true copy of the original certificate of death.
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<br />My Commission yxpires June 2L, f98I, i otar
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