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<br />THOS 1$ TO CERTIFY THAT THIS IS. A TRUE AND CORAEGT COPY OF THE OFFICIAL RECORD WHICH IS IN MY CUSTODY.
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<br />t DATE ISSUED 1 I
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<br />~RONALD S.
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<br />JAN 2 ~3 2~J06
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<br />STATE REGISTRAR
<br />~ _ . - Do not accept artless prepared on secprity paperivith engraved border displaying the Colorado~state' -
<br /> seal and signature of the-.Regtitrar PENALTY BY LAW, Section X25-2-1 Lg, Colorado Revised-~
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<br />~ - Statuteg, 1982, if any person alters;~uses~attempts to use'o~ fuinishes'to another for dersptive'use
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<br />` ~ any vital statistics record. NOT VALID IF PHOTOCOPIED. f
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