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<br />WHEN THIS COPYCAR MS THE RAISED SEAL OF ME NEBRASKA HEALIN I
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<br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, VITAL STATIST!
<br />THE LEGAL DEPOSITORY FOR VITAL RECORDS. I ,?
<br />DATE OF ISSUANCE J*W�+
<br />SEP 10 2001 200404696 ASSI8TA
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