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FI~E ~
~ AND RECOR~D
. I~?a~c~e(yy;~rtify th6s to be a h~e and•correct oopy of tha loeal EO
itepkf~re~~ record on file in the St. Luc:e County Hee'.th Depart- ~--QOOK
m~a! st ~ort Pierce. Flor:~la. ~ .
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~ (1Narning: Nnt"vz;':~ unless ra.se.i ''-W ~t. lucie 'S5 S~P 23 PM 3;~5
Courtty~~Ca th Deaartment is ~~~;..~i.'J '
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