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205850 20585p ~ ~ ~ ~E~ AND KE i `lIC1E COU~~Y ~ 1 ROGER PO~t~A CIERK CIitCUiY t ~ 11EC0110 Vt~~i1t0 Mu~ 1 I 9 z~ PM'1 I~ ~ C=.: c t•• Or DcM..-i ntprrt~rl ~I II:.i~b aw~{ :~c~.+~ .._.~rt Jc~~:o i7AT~ FILL ItO. !1~\.~:i~~ (k" ~1.:~. ~I : ~ L _ :.l I1.A• IPI ~~Y~YR~Ma~ ~ REGICTIIAp•f ?+o. 35~ +i. . .....:NT ItiK MGEwSEO-MMH ~•q~ ~.«•a ;~iA O~iE Of Oi~iM ~ ~owr., a.~, a.. ~ ` .ti .._.::.J[ Wt .s::ata.i , l.ila :,er~ ~r :o_ ~r Female I~ Au;~ust 2~ ' a~CE .r...~. .~~w. w~KU ...a.... ~ ~Ai-..~, : . Da'f O+ W7n ~.ou~.. ~CONnit W OfwiN ~K- ~ W~Yt 1 ~ ~.~1M • ~1~~\~'~-ti~ w~~ ~:..~1 ~M ' I~Y ~ ~ 00~2 • ~itiite 7i~._=_ _ ,~;arch 3,189$,. St. Lr.cie I GiY, IOWN. M?OG~f~O?t Of-0(ATM c; .~.wil.Tw. G: G:nc: nliJviA?~- ~r .p w e+r~. om ?rr.~ .ri .w.~ ~ : ?..c.. . a q. ..o I - n Fort_ Pierco 1c~ ?~z. ?ierce ~;omorial Hosnital " STwiE OI WM ~r wo~ r. ~ s..., ~..~~Gid[r. Of W~nA: C:n.~~i.r ..n..,: ~~ci ~u11F- D-'SUW~IIN6 S/OYSF ~r.w. MN ..w. rr ~ twww~ ~ I ~ w~J:.b<J. J.vJ+~EJ ~~ncr~ ~ .f.~.~~4a.~u . Goorgia L. .i. ~y i~~2:..~O1JvGZ ~tl ~ .~.~e.w• SOCur SiCVb111 hHWf! ~ •.o..~ a...+o ..H~ o~ • cr+~ Or wswtu Oe wousnr .:a. ~.i. usu~1 JC:~i~t.:.n. ....a ...a a. ~w f 4CC~~~~i ~w r0~•MO 4~~. u~Il.~~i • ~.....~..1 w~a.Mi 261-09-87.2~ ~1 ~i }:OL:3C\i 12'~? .ib ~WA }~OR:Q .~'Oi. 43rDf~+CE-SJ~it CONwTf ~G.~, :O'w~.. O:.G~~•.Jn "'~w c.n ~..r~ S1Ntf wh~ ?W~~ - n~' ~.V~Cw W ~O ~y Florida $T~. j.l1C1C ~ OI't ~rce YpS ~w zz~7 $OStO:] aY@ r--+r.~.~ fwlr~Ea-a+wt ~~n~ ~a.i w~ ~~rJinfi~-MW~IEMNA~MI r+u .w.~ 1,1i11 J. S^ .yary Varr.~~?. ~ u ~~wiGiM~r+i-wM~E `~~n~~.r~ ..:,;,.cii ~wn.. w +o. cws w a~. wh. ~r~ ~ 3~~~~0 ~:rs. Nillia:? G2atz 2931 Ind River Dr. , Ft. ~~erce ;~1~. Twiti 1. OEATN WAS G~uSiJ ~Y. ;nCic :..~_T .:~~i f...~f li~ ~w[ fOt !~L aMJ (~1) •~en.~~r e.s.~ U ..rw+~ c.. - i•iH-~~C/.~~i~~~ . ~ i~_ ~ ~ ~ awi.T.-., ~ ,i ~ w>ayrL .r .w~. • ~ / ~ I~ ...c. a.n ro U: ~ i : ~ ~'-~i~.,~./~LL~ ~ ~ . ~.-~.~~^~rs~ . - r-~ ~ ~ _ . ~ ~ M ~M ~f . [O+uc~N.~~ O• ~ l ~ ~ j - 1 ~~~MO (~rN ' ~ / . !7 I ~ . /'~L / i, r~ t.l/ ~'?ti-~C _i..~ ~ .~...J ( -rlC~/ ~~•%-t: ( ~.i~ _ ~?w~T r Oini~ S+Gnd~Cw?tT C car...o-.~ cw. na o..~. ' a:o c.~w a~... ~ r.~~ . w . w ~Sr K Yc3 . O~j~jM~S • / ~~t~~ ~ C~ i~.~ w N~~~~..r.. C~..~ , . ~::a:.:r.-w~:.ot Sa :o~l-E d +w:~~ ,~~a ;~w . ~ _ v~.Ja. O! w.Ot~l~rk.tD nJVV IN/rlT OCCNf~EO •~•n~ rM~ p w ..r . o~ ..~r r.~ . a.ry~ ~ i ' __~_7:. _ :+t ,.h..,~l M'JSK ~ iJ1Li Gi .N.w~ r.~~. . . v~A:~~I.\ ~~~a~~ M W.. C.A M tO~ti, p~n ~ f ~~~~i~I~ ..1 O~ w01 p~K! FIO., ~K ~?M(.ti ~ ' T.. ! X~ Ci~: ~.CwT~Of+- .O+fw M~ ~~u •u• . a.v ~n.~. u..~ a. ~ . ~~/aa .o~ r:~~ ~r~ O~~tw OCC~a~•D •r .w. : • - /I~11~C~~M: ~ ~w'w W~ nY +~W~ M~r .V~~. L~t~. ~ ~ ~~tlwH~ tV I+ T~ • ? . . . Jan. '~S ~-_'~-7~ l~,. ~=c l,:. 2 a" _ CF+i~i~i.wt+On-+~iDCw: E4w~unE7 W CG:v^wf~. o+ . ..a a-~*-. c•.w. ~ lw~ NC~J~r1 ~y MO~Q+i~~ MY _ _ ~..~~.r.v~ O~ H qe• ~r~0/O~ ~M ....iuw••G+. w...p... ~ +P•rw o~~ r~N . ' ' pt~u~ OCCMY~ O~ ~I H* ~N M q tM 4rs1,s. H~~~a :E:z.-„~._,~,~..a..~,. _ ~ ~ ;~-12-70 ~ ~Y ~ wu~~ V n~.t GwTi ~.Gr..~ . ~ TO^ : ~ . S' I::S ~ ~ ~ ~ - % =i. .~.-~+:i:?:.- /~/c~ R ~ ' ` ' ~ ~.u4~nG ~JJifii-C[ti.~,~a~ ~ ' ~ . ~ - ' "~.y~. V: i on a .o~. ~1 - - n _ - • ~.{il i~-`- S~racr ^.,r= ~ r~a = ~ n~-; ~ ~ ':~G 4 t CifMAT~Oh. 4~+a'~V.?l ;Cwc:ctY c,:.~~..r~.r_.,~,,,i ,.a.T~or. ~ w w..~ , . , ....cr.. _ Removal I,.: ~oa2z~~~~•)' \ichols Ge.o:gia ~ _ _ ` Dw:f ~+0~~. ar~ ~W ~ ~ foh:iw. r.~M:~1~LY~ 4\J :J~~:.: .~r.ur O~ a- r0., 4n M tOa, ~r.n. t.r ~ ~ .~ubust 16 , ~97o~2Si r or _c, 1~6 ~o St . Ft . Pierce , Fla 33~3~ S. . ,12 , rw.~;.:C ~ti~tOa ' : i 3 . j~ ->::.~a:.:;c ~ ~ ; ~r~ ucarso ~r .o:.. ~.v~i:~u ~ w~v. ~Y1u ~ 1..~/: i.: ~~cl'G... i.:l i~.. ~ • t~ . . n,a,.~:./ ~ :u ~ ~ ~ - ' . . y ~r i.r~~ c~ ~7~ ~ af tha l.oc.al . _ r 1 h;::ety :..rtifY this to b~ a nue and oorrect coPY ~ Q~i:..':~f: record o~+ file in th~ St. lucie County Heaith Oapart- , . rrw: ~ ot fort Pieru. Florida. (Warnir~;: Not v~:id unless raised seal of the Si. lucis r:. _ County Kealrh Depanment ?s aff~~ced.) . ,.+~1;~r i _ . . . _ . , ~ -i • N. D. MIIIER, M. D. ' , ~ _ County Meaith Officer E. l.oc.:! R~istrar -ti..,= , ~~M- s' , - ':,f~ ~ ~ ~ ~ ' ~,[,,,~_JU~ ~ ~3 ; - ' 1. . J`~ <pCa~ r.a.C S:rV'f ~ j : ~ , ~ . " . ~ ~ 1• , ~ i . ~ $ . s~ ~ ~ ~ ~ i ~ t ~ ~ ~ ~ o R 1~ 24,~ ~ ~ aooK ~ ~ ? i ~ a ~ ~ ~ ; a:5 ~y . - ~ _ ~ s, _ ~ fi - . - - _ e . - - : .