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eaeeu~~d ? ~~M~ CC~O~fS STATE A. COiINTY ,
.1~1 St. Lucie ` Florida St. Lucie
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f. N~ME Of (//Nf ~N/ifY, ~iN W~et Nhn~I I. STItEF7 ADDIIESS
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3 MAM[ o• ~?M 11JiWlt - LW O~TE X~t~ Or/ Yru
~n?~ ALFRED L. SCHINLEVER ~TM November 12 , 1969
S. SE]( ~ CDCO11 011 IUCE 7 M~~qD ~ MIYFN YARN~[D Q• DATE OF ~111TX ~ a6E Ktl1 r urot~ ~ ruu y~pEa H MS
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t~~~~rtt~r Charles Schinlever Mary Childress
qJ 1~ SOCIAL SECUIIITY AO. I7. ~NIOAYA ~ NONATYR[ A~I?ta
17-01-716 B~TRICE SCHINLEVER, Ft. Pierce, Florida
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v.s.ie~s j~ ~ RAIOUIE~SK.IUT E SS 2S WTERECO.~tWCALREG. 2L.~E615TRA11'S5IGMATURE
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FILEO AND RECOROEO~
ST. LUCtE COUNTY. FLA.~ ~
1 hereby oertify rhis ro b. a trus and correa copy of ri?.f~ofaC R 0 b~ R I F 1 E 0 ~
Regisirsrs record on file in the St. Lucie County Hwtth Depa~t•
me~t ~t F+ort Pierce. Florida. 186~15 - %
(YVaming: Not valid unless raised seal of the ~6~,~{? 2 0 PN : s Z ' ~'F' `f
' Counfy Mealfh Dtpufrr~e~t If affiXad.I . , ~ .r
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RO~~R . OfTRAS ~ •
, N. D. MlItER, M. 0. -
Counq Heahh Officer •b locaF~~a~~RCUI? COURT~ , !~r~:; %
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