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•••~l•~• • Martin G. Gould H.i~. Fort Pierce Fla. 28 Julv 65
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a...1°s~ Jose h~J. Yates Ft. Pierce Fla. Anna Lee Denison, d. r. ~
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F~~D AND
~ ~~I~k a~lify this ro be a true and torr~ct oopy of the Local ST• LUCIE C UNTIRD
•~~fteglt~',~-i ~so4rd on file in tfie St. luci~ CouMY Health Dspart- RECORD VERIFIE~'
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: ~ ~ - : . ~r~dnt `~t : Pieroe. Fiorida. ~6 ,.~~1~Cr~0
;y Zyy1atn1~ Not wtid unless r~ised sea) of ths St• tuci~ s :
c• ~°apiMy Health Depsrtmenf is affixed.) ~u~ ~`I Pt~ 2; 02 ;
i~,_ - . ` a N. D. MILIER, M D. t146 :
_ , . 435
County Health Officer ~ Local R istra? tS O l~ L h, U i TR ia S ~
~ :i. ` << ; \ ~ p CLERK CIRCUIT COURT `
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