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~n ELIZAB~TH ROSSELL ~?TM JUh~ 12 1964 -
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MfO~K ATlORK
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BUR1~A~ 6-1 FT. PIERCE CEt~~TERY FT. PI:.TCCE FLORIDA
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a...~oas ~~n W~ g~~ PI~tCE,FL1. 6-~-16-64 Anna Lee Denison, d.r.
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- i . FILEO ANO RECORDED'
~~~~y ~e~t~fy this to'b,e;s;t~ue arx7 correct copy of the Loca~ 5T. LUClE COUNTY, FLA.
Re9~tra~s retord on file ;itr, f~jb St. Lucie Caur~ty Health Depart- ~ ~ c~
rr~nt at Fort Pterce. Florida: ~ js~p.7~
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.(Nyarning: Not valid upleis'raised seal of the St. Lucie ~sj ~~C 22 PM ~
. ,C~untY Health Department is affixed.) ~ y 8
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- - - MIIIER, M. D.
' ' ~ Goun Heahh Officer b Local Registrar . ~ : : t~ • :.'i
~ , CLFfiK C~F,CLIT.COURT
1 ~ - ! ~ -(o~l ~
~ ~ - . - ~ L~ e L . ~S.~,,._
Oaf~ DeptAr L,oca~ Repistrar c~ • r .
' ~ BOOK ~.6~ PAG[ ~O~J