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13
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ClER1c CIACUIT COURT ~t
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~3:~•rI~ISD C0~ RECORO YERIFIEO _
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- 211H3~
'I h~r~b~ certif~ th~ •bo~s tQ be a true end corrsot coQy of Lt~e
Local Esgiatar~r' a record on f 1le ~n the Zndian gi~er ~ounty Health
Dep~rt~nt at Vero Beoah~ rlorida.•~
`This is not ?slid unless raleed seal of the India? Hi~er County
H*tlth D~pertment la atfixed. ,
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: ~ Count~ He th ficsr and Locpl Regietrsr
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193 2194 ~put~ cal Heg~st: ar ~
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