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HomeMy WebLinkAbout0579 ~ ~ - . I D~~DL COUNTI~- 1'71~'16 _ DEYARTMENT OF PUIII.IC HH:AI.TH } ~aw N. w. rouarisrnM sT~ccr DSIADdI. FLORIDA 391'?.S • . w~ia w~r ~r ~w • CtllTIRICATi OR OlATM wiww v wna i~n~w~ wi?h w~s ~w _ rsoa~~a «..~..N. ` . e~t ~ ~.....~r...t ~ ......M.. ` •/~;Z • llorida 8t.Luci~ an. w~a «ua~a • ~ rua a~w an. +~wM ~n Miawi ~.a`~' rt. Pt rc! ' • ~ • ~l.r ~ w~w. ~r..~+r.r..~ sww? wn~ ~ JRCl~SAt !~.'`tRUL lCSPI?AL 3~16 ron 11v~. ¦IS N At ~AMr fM / MN l~r I~I 1'Mr t M ~Uq ~ a . ~=ZB~~ ~f~ plM 0~ Y~t ~K~ rrp ~ M! 1 t Cau M..k,. Juzi~ 1, 1899 `a~ " wr.eow,r.ar, v ...a.«.~.«..i.w. . . .rr..... ~ecSc~•~ ••wM.~•r,.r•r Railroad Io+ri v811 , Ern~st Harr tlnobt. swa ~e.r++ r 310-22-895 ~ Ft. Pierce .Florida ~.ws r w. . ~n .nu.r.n.w. ........,..:«.~~"'~«r_ ~g/~ro~r AQYrr~ I y~v~ .,,,,.w fcaFg~~~ r~F.~acr~~N ~ c , r.. i ~y ~s~tA ''1 S aCA i~l N~ 1?RO • QI~l~Y~~ p~1~1~MA1M~r~A1~~1?~/~r~r~~1w I~M . [ ' C ?Cr7t ~p r ~Cd~t~ fKyt ~4wtyR ~afo~r[ ~w iw~ ~otwt~ lOr ~~Mr ~/rM+~ r !~w ~ Ar1 d M) • ~ 1~l ~I Mr l~K M. - • M~r a a ~ MA~ ~OOMK~ ~ K~Q M~aM~ M. r r Nr 01?.1~~ M Wt~tO ~t~ it~R Al~t O 1MwRt Q A?~.~r1.~l.~Y~..Mr.) ~ tl ~ b ~««www.wwti..~ is - s ~ _ _ 7- 2 s -GP ..~r...~,~.w.. J- 21 -[p awa.r...w.. _9......w~w.M..wN.~.:.w»N.swd.rM~MK~'••w..w..w.w M~ . fN.w ~ iMn ~ M~~l~L/~ M1l f/S~ • .vv~ w~ . { ~ ' ~ . l~/~/ I~ 7 7'!I Lf ~1rr ~1 MH I~r MwO~dMttnO~ lOn . lAblw.O~w~l t~~ R~a~S`a~ 7-22~ g~ MM.Gdn~. ~ Ft.pi~zc~ llorida ~16. s~i+~c j i:c: ' ~ ' : l ~t ~FiercehFla s i~~ ~ . -~r ie ~A8(~16 TO ~ A TRLB COR OF T}~ LOCAL E~('ISTRAR~S - . _ . r : O~-s~ - . ' i-ta~id unless the raised C'TCJR AND DEPl71T-RSGISTRIIR ; ~ ~dt'the.Hursau of Vital BUE~AU OF YI?AL STATISTICS ` ~L '~istfcs is atfiu,ed.) DADS COIJM'T t~ALTH DEPARTl~T.T ~ ~ MQA~Q ~ PLORID~ t t`, 1 FILEO AND RECORD~O ST. ~~CIE COUNTY. FLH. , .-rnt:.. ~~r-c~}~'!~'~1 : '68 OCt 2~~~M~~1~ 56 ~ BOOK~~~ PAGE ~~U ~:0`~%_F ~~O;TR:,S CLFRK CIRCUIT COURT