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I hereby certify thIs to be a true aM correct copy of tho Local
R'Kji,:r u's record an fi!e in the SI. Luc:e County 11c~1th Depart.
ment at ForI Pie:(e F 'o:;UJ.
('NMnir'''. r'!ol v 1" .I unless raise3 sc~1 of !h~ St. Lucie
COl).lty hOJllh DepJrtmenl is llfi: '.od,)
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'. N. D. MILL:R, f.' D.
County Heallh Olr:~cr & Local ReQistrar
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Dep~ty Local Registrar ~. (' .
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of Fort Pierce, Fla.