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! FiLEO AND RECORflEfl":•__ ST, t,UCIE COUNTY. FIA. ~F:coar vER~~:~~ 16'7066 ~ '68 MAY 13 PN 2: 6 ~ ~~v~l/l ~ ~ :,s FtOv__.. ~ 017R CLERK CIRCUtT COURT I hereby oertify thia ro be a true snd aorrect copy of the Loca! . ; Registrars record on file in the St. Luci~ County Hsalth Depa~t- ' i~' ment at Fort Pierce, Florida. . - . j ' ~ . ~ ~ - ~ ' • (VI/arning: Not valid unless raised seal of the St. lucie _ ~ ~ ; ~ ' ' ' County reafth Department is aff~xed.) - - . ~ ` , } • ' . y_.i: `.,;r. M ~ ' _ _ ' ? , - N. D. MIILER, M. D. ~ - • : J.~~, ~ ~ County Heaith Officer b locat Registrar ~ j. . :t ~ . . t } sta ! 8 local Registrar ~ ~ - ~ ~ . ~ ~ ~ ~ ~ . t ~ - • ~ • ~ . ~ ~ ~ . . ~ • . - A~ ~ . . ~ ~ ~ ~ , ~ ~ - d ~~~1~ ~ ~ ~ ~ . , _ _ ~ _ . _v > r.. vv,. s . ~~,~x_.:~.~ w _ . y..___ _ , . - : ~ k . _ _ L . . .ss_.,._. -