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t $~'+eb~ osrtfSy this tt~ he a tnc« and oornsct copy of N,~~~tUCIE C AUNTY. ~i 4. -.'~ •~ ~- (-
P.~tsi'rx`i netord on file in tha St. Luca County Health ~perp---
ttxnt tt Fort Pic-rc~, Florida.
~Wsrnir~g_ Not v~!i.~ unte~s raised se~i cf the S~. tuci• -
Cou~ty Hea':h J~partcncnt is ~:I:.,~1.) ,
N. D. 1ti11CCER, ,'.t f).
County Nc~lth Oif cev S Crx-~f F,cgistrar
tom. .~.. u
t~ep~tit}f,: Local. Kegistrart d . r .
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A D ~DD~DEDDK
~'i ~~~ ~eCO 60
!N.- ~
PM 3: t~3
1962 ~~ 30 0.5. C~E~
aOG~ECkEpC4 uT`i, F10a100.
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