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<br /> � WHEN THIS COPY CARRIGS THE RAISED SEAL OF THE �IEBRASKA STATE ..;}�'raE:°�
<br /> DEPARTMENT OF HEALTH. IT CERTIFIES THF BELOW TO BE A TRl1�' COPY liG `�+:-s-'�•M�•��
<br /> i OF AN ORIGINAL AECOAD ON FILE WITH TNE STATF. DEPARTMENT OP HEALTH "`�:
<br /> .. SURFAU OF VITAT. STATISTICS� WHICH IS THE LEGAL DEPOSXTORY FQR ,______ -__
<br /> i VITAL RECORDS. ,�;;--��,
<br /> ' DATL� OF ISSUANCE ,� `� I ' �'�:�t:-
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<br /> ' � MAY�7 1991 STANL�Y S. COOPER, DIRECTOR
<br /> � � LINCOI,N, NEBRASKA BUREAU OP VITAL STATISxxCS .'��`��
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