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HomeMy WebLinkAbout0506 T.~. r. f7Atr .o,.~eo ar ~s,~,~n~ CERTi~'1CATE C?F DLATH ` r??'e~ ~o••• • ~u~c.au nn r~Tu rrwnvr~ce rr~ti rtuc Na. ''s"' FLOaIDlL or! r~~. fi Y NO A A' ~ 6 pr~~~rl ~ f KAq ti Kw'Y71 COO~ MO. 2. YwA~ ~MN~C+~(~w.arrrAUW U~..w~.r~ ~r.rww?~•.~.w..) •ttert~ % COWITY • YT~t[ A. COUN7Y and •!I. i. ~1•e~e -SP ~ Ii~r~ie :~15~$____ ~rLl. O 1• ~if Y~. C:TT. TDw11.t?A 1,OC2.71ph f. fS ?~AC! OF O(ATM t. CITY. TDNR.OR LAC~TIOM f. 1/ IQ[pGC faf~st INS~OE C~TY UWTS1 - t 111. iTY t~Mli'S7 .~--F~.~L'.R~__~ Y~S NO ? ~t~~Sc~...~.~_..~ f. N1YE OF (If 4~ blrY~l/. /fIV ~l7s~ O/~NI) E STRE[7 ACN?fESS IqSt1T~L pA YKT~TJ7Aa F`t _ Pi ~re~ ~~ni~~~ 3 11A~[ MI J'bd Adi1Y/a Lai i DA rt A(swti L~ }'ti? ~ 4~t4kt q r~s~ s`;"~~ XAilI1TF. ~,tiQij curx • T--~ ] 9b5_~ .~E~ x { CROR Oll RACY 7 MAAA1[O ~ MV[A MARAiED OATf OI M~;n 9 ACE (/Q Wv~ I t~Y 1 YU~ 1I~810 1!i ld ~~i M.r~ah D.ro Iaw Y.~ . . t ~ . ~ ~oo.+cr~1 a~o 1.,,~~~. ~ ~ 1 at r 1~ IOs u'Sa;+.~ crcCV?~rK~ {01rr tirl e/ rwt Isw io1 ~+wa ws~veu o+~ w~wsrwr ! I M~~a~ St~te /~.~y+~ rw~crj, ~ cm~+ or ~wn owtmr rit? - Ir~IwwM~l+~~il<~~wr~ijrOl?r/) ¦ ~ w o, e ~D lri i f e _L ~ ..,~?L~wli7. _r.____ - ~.~1~1~~ ~ , 1 t~c t t r ;,?~TMIR s ~e+?rE ~ 1! rpTw(~ S YAipE nc+tw( •t `ro...~ ~ tfnab~ ~ ras xa.:a c.c+e ~ i s. co r.~~~ ~a soc+.u sccv~~r; ,e~o u werw~.~x ~ a~ow~rwc__ S.h'. ~!£il].er i 1 r. w. w~~lwv 1!/ rr, ww rr a~Ylw ~ wrw~ri A~rIM ~ _ ?w~~r~l H EAN~4 M KATM ~htitn ~w7~ wr ewp pr li~v~ (~l. rA). ssf ~cl.} IuTiJlY4l ~EY'ITIM a t r v. r o r~~T oca rn a~s ci uxo tr o+etT n~o auTH ~4+~coMn ;..u~c c.> __~___~;ez°~hrau_ #.2]ltl~'ioiX:.t~ _ . . _ _ _ . _ _L4. ¦~st t! • ~a. - - LlfSa~t e. t~ , ~ o~,f Ta - ~',nae:raiiz~_As-t.e~xi~sclera$i.n - - - Y~'.s---- i . . . . .e... ~ r• i. c r,• K t~s swit+- a l~fiy t~a1t lMt DI.E T(1 (tl . - ' _ ~ - - - - - - sitl+le ' 1 ~ - . _ -..r.__._.__.~___ . lcrr - rRAT i~ Oi?~'iG~Y.awf (xYaiG~6 ~w7~ri TO (SGm +qi ~eLi+rib rp ![~rn~i lWUSt Cr~nc~c ~4rN1i iA Mes ~ta~1~~•-•-~ ~ Y ~ - ~'1~~1~ t~t ~se ! YcsCl Mp~ •r ?ats • - - - . ~~~__~;T-_- ¦akl~~ ~ _ ~ bffCllMi +tic:r iK:uRr OCCuP+tt:. !Rk~n rr~~r ~/~r:~ry is f"ert 1~s P1i 11 ti k~9 11 i ACCIDlMY Sl!Clbi ~"wKIC( . . ~ r ~ ~ G ~ . . - t~ : ei.. . ' ~ 70r 1'~wc u Hew. J1lswl~. nar. 3'so. isr_Y ~~uur~r . _ N d ~ . ~ ' - - - - - ' . ~ l Y' D ~ • ZO/ M!lR• ott~~~[D ~r RAtr Cv nuvltr i., ~w a+ ~+~e~ 1saue. 1W~ e~r~. ro+r uR ur~1T[~+ t'I . efATE ~ wM~le Ar r-~ NerT w«,i.e ~ 1++++. 1~rdei~. Irsw, +14e 5ry., rec.~ ~•i~ ~ MMK ~ AT MAIIK . //~r~ . • - y-~ - w ~I I ~tf~nd~d tM dwo~~w+1 /roeni ---._~aui~ 1 - . [o --.~,~~__,[~1~ ~n6 !ut ww ^ ~ •fi.t an D+~th ottut~Mf ~t __,._,~.~_~j,ray___,~_~._..._ w+ or. th~ ~drt~ ~f~r~d ~iw.~. •n! ro !h~ Aasf n! ,n~ tno~:4.d/•. ::om !h~ o~u~ st~lsd • 1 1 ) i ¦s jy~ NOAi~IT1?~ (1*~!s 1MU~ IM ADWi~L23 .'-J•_.~_.~.._._`-._ _ r.t. 7~ 31Gw[ G^ •r• t• ' • c~stt~t i • ~ ~ M1L ~ C- •e~rr~t , " I.~ Ih+wu +~cr.*rw. 2]6 O+~i[ Lk K+,rE ctw[ ~ca~ oR eR[rAfWtr ~3f ~pC~tq~ ICY~, torw. ar esn'rtfl lAfal.) ~crcnu ~s~.;~;,~ L ~~"_~5 ~ ~ ~ v.s.~a~ ~ u ru~c.~w1?rcT--,~a ss~cwTT~~t'_(y"~---g-~y--- ~i__C~cins~ . Ft..~erce Florida TJ~ '~'~4 (`,h • Jt,. ~ I'S O~A'i ~1(!'D •Y ;,GCAL REG R[::HTR~11 3 SKr%:1TLR[ a••. s ?~ltc~n W. Ba::rd F`t. u~asree P"' a. ~ 5_11-6~ i A.~n~ L.e~ G~nis~n d r~ ~ FILE AND RECORDED ~ I he~rby certify thia to be a true and correct copy af tha Local ~r' 1~'~`~~--~ 0 0!{ R~8lstter's record on file in the St, lucie County He~lth pepan. ~d~_l.~t''Z`~ . mertt at Fort Plerc~. ~foricfa. , (Warning: NW valid un~ess raised seal of the 5t. Lucie 9~~ i,, Z y j 3 ,J.! ; ~ County Fie~lth Department is affixe~.) t?~ , ~ FCG~r? i~:;.ii~:~~. :;~~rt'{, ~ N. MltlfR, M. D. ~ Si, i.iJCt~ COUCITY, ~ Cou~~Fy Healih O'~f~cer b Lcr.al Re~istrar FLQRtDA ~ ~ ~ t ~•icS~ ~ • i i~ ~ D~ Deputy locai Registrar d "i"' ~ ~ ~f ~n ~~f1r11U e~V~