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LACEY M. STRICRI,AND ~?Tflecember 16, 1967 4
S- SE% i. COIOU OU ~AQ YAM~ED~ IIEVER MAR11~[O t. OATE OF MI1TM ACE (h I~~ r 1M~aw ~ rWt uwt.i ta Nls. ~
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~ Dl~tlt lOk ~ FATNER'S MAME 1~. MOTItEII•s yNp(~ 11AME ~
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.~~p•¦•~~•~ William A. Strickland Amanda Russ
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~ 65-66-7707 ~ C~• Ft. Pierce, F].orida '
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•t~~ t0 1• ?2[. DATE S1GpE0
~~•a~••• • ~ 1 l 9~. Pi.e.cce, 91a. 12/19/b7 ~
• C CY?~t~ • ~W/ p~. ~ pf aMET[IIY OII CIItYATQ1lY 23/. LOCATION (C"ifl. fMw. M t~Yaf~) IS2dfl I
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Buria 21- ~Hi~llcrest Mem.Gdns. Ft. Pierce Florida '
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~ • . • • • ~ ' • ~ - ' ~ FILEO AND RECORDEO . ~
~ ++~,~y~~~i~y~t'~~?Q ~?~~~~`'"d COf°~ ~Y °F ~1° ST, IUCIE COUNTY. FLA. ~
Reqif ?tAdY"~r ~ fi~i ~'tfii St. luci~ County Hea tth Oepart- C~} R t? _ n s, F! E D
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un~ valill~u s s ra(sed seal of the St. tuc1e
~ : ~,n~~ affixed.~ ,69 APR I 8 PM ~ : 2 I
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" f ,l~I: MIIIER, AA. D.
~~ou Health Officer ~ local istrar q'~; E. R f T R n S ~ '
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. I~"'••.~r. . . CL~RK C:RCUIT COURT +
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Oat~ ' D~puty Loul itpistrar d.~ , ` .
60GIC 1~ PACE ~5z
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