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This is to aertify that this Funerol EstaWishment Lioense has been duly registe~ed aaoording to law
with the loool Registrar and the Clerk of the Circuit Court. in whose distrid tfiis license is iuued
for use of Licensed Funerol EstablisFune~t on faoe of this C~tifioote.
Registered this ~ of
~ ~ qerk of Grouii Court
2a~.s3~ ~
F LEO ANO RECpRpE~
i~.l11CIE COUNTr fLA. Looal Reyistrar of Vital Statistia ~
ROCER f01TMi
CLEQK CIRCW? .
ItECORG YERIFIEO , T~ .
OEC 8 12 ig Pd'TO ,
r$TATE OF FIORIDA
,~ac188 ~22?~1 .
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