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CERTIFIER�Clreckanlyone) ' <br />..; �� B �PHYSICIAN ToMabeslDlmyknowiedg8 tle9 re0��1 BMre.08i9 � %k <br />9 <br />���� COFIQNER pn Ihe Easw I eminal M. MdV yi my �ry peeurcj. <br />SignalureolCerM�er __ _ ' _ ' <br />� . A>>. T CEflTIHED(M1oNeylYr) .� TITLE �DOpC$S� <br />`+} �PN Z.� ZD(J L E l.OUWREN <br />�� .:.N�. REGISTR�R'S SIGNA711Rf <br />� ' <br />_ � _ _ �c-.-..�e.....i"" <br />,�������v�,� 255495 <br />� , � <br />���� This is a true and exact reproduction of the docoment on flle m th� <br />� Records Services Cheyenne, Wyoming. <br />� <br />� ��:DAT�ISSU�D' `� � �� �� <br />i `� <br />G This copy is not valid unless prepared on paper w�th an engraved border � <br />-'� ti`�. ,,. ,. _ � �.i��.� .�.������� .,�.�..�. ..,...,... <br />� <br />'` � y <br />��1IlING � - � <br />_. <br />,� 20i10�.57'7 - <br />����—��'�,��� :� <br />, _ _ <br />I � � STATE�FILENUMBER � <br />1( �'� �ATEOf'DEATHIMdDpy/Yr)(SG40MOnihl.. <br />�„� E_,. UC�BER 22. 2004 <br />kY � 'b. 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