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Home My WebLink About2875 / _ 218432~ ~NO a~R~~ I~ilytillj~~~ l 218432 0~~ ~~~c ~3 ~9u~f rn _ qfRtlRp YE~~E~~Q,........~ ~ ; 1 ~1 e~ ~M'11 C~~~1FIC:~T : Gc= D~ATH ! ~p~Aweal ~I~.~tb ~n~ F'c6aF~iu~tl~e $rnlm iTAT[ !IL[ NO. iH....uv c~ ~~r.,:,~i c L O 5 I D R 271 i~>F, Ot I~.hi IN pEG16TRAR'f NO. :iAAAZNT INt Ofl"E.~SEJ-hM+E ~~~u ••u SfR ~OwiE 01 Df~M ~ rOwu. ~~r, nu t Si( n.a.::~c ~N G ~f :~)Ti~~1w~S ~ R~7~ -l~ ~t CC'T>~e~~~ T~~ne ~V~~~/~ IACE ~w~f~. w~Oq. ~~I~K~w ~rOww, I AGE-~~~f u.. ' JJ~7i Of ~.iin ~.O+~r. ur. ~CONNir Oi OEAiN ' ~1C. ~M~GNt~ (H~tM~~~TI~~~~.'-+J~ L.~l ^.~.~a ~~w. ~ . ti::`~ite 75 v 22, i895~,. Sair.t Luc;e - OO.IZ Gtt. tOwN. Ot~ ~0~:'~Oa O/ OEwTN ~JS~~~w. C.:.'~Ci _..Si.t~:w~~.-n~uwf ~r +a w~nr~. en~ ar~• w ~r.w~ ~ ~ . i., ..o . ~ ~~orr Pic:ce .'cr P~~rca :~:enorial ~:ospital ~ - ~ ~ STwTE Of 41Tn iu r0~ ~ Y.? ~~~~,GTIIEh Ji hM: ~Jv\'wT ..:J A_.;= ~•.A~i fJ. .SV~YN,h~ Sp11f( Ir ~M~.OA7 MN~+ w~l ~ ` ~ x? . .+~r~-i`~ Charles ~7• Bonesteele ~"a ~~~..~.c~ ~ :0:~ ~dI'iu ~ i.Jn ~ tt - .~u e.u•wa SOC~~u kCvI~TY M/WER USJ~1 .X:~~w' :.n : :.w~ wo ~.:v u~ i.W O~ WS.r+f1S W 1I+DUSi~Y _ .fD ~~~~w • ~:(~~~lJ rW~.~~ ~•~I. ~~~ti ~ ~S'.:a_ . , . .,.w...:,-. „ 516-42-3707 B 5c:.cc, _ ~~.c :c _ Educa :ion . ' ...a. ~ tES~JEnCE-SI~1E COUnTr u7r. -Jan. J...1G',Jn ~~+~a~ on a~..r~ iSilfli wA0 1.Wr~E~ ~ ~Mi(.rr M w0~~ _ ic:~~a ~„St .:c_e ~ _ Yes ,..2505 }~avar.a Aver,ue "r.ti-~M.JfN hAM~( ~yf1 rOh~ Mf~ ~ /A1h~~-NAM( ~.4t ~.OJ~~ N~t w~.:r ~r''~ ' Dan ::,,.:c,r.: ~ellie Johnso~ - ;s ~~+~OWwwhT-r~M~E .u..,~G w~~::SS un~p o~ ..o .[w~ w roo. ~r~n. t~~ - ,,~s. C:arles S. ~oi:es:ec; ~.-~.va:-:<, ~ve., ~t. Piercc F1~. 33?SO i . IMT pFwtN WAS UVSEO YY~ ' ~_r :~v :~..Sf ~e~ •+~i KN :?L i~il ~~n.n~. p..u~ ~y M~~~ y'i uou~~i.- / ~ ~ • ; i ~f'/~~ /.L //i..t, ~ i :y ' FT3'6. .~'.~'io„~~! ~ ~'/1 ' ~i~/"~..4 ? . .~Cv:./ ~~G~- , f / . ~ f..L~ ~ ~ ~ ..u ~a ~ .e~ J~C~.t~_.~C ~:y_fr" ' / i .....~o~.~ * <.~s~ ,e w~ ro. w . co....~. y ' ' .r~.o i vu ..~•.i ~ l ~ ~ ' ~ ~ ` 1 ~L~/,% _.'.f. .J `/i. i~. ~`i~x (i: ~ s(/ ~ _ i__~ Y - ?~qT u Olnta SIC.~+JCu~t1CC~J~t~Or.i.ycaa.~.o-.a a~ :~...._r u.' u.s. c.n.~+.... ~ w MJiO?Sr . u rE3 •~~~o~ cw~ ~ ~1ti' ~ W .W 4rN f , / J Ifi - w::-^.~~.T Y,~:~Jf G~.~w?FO~i~....i'~. i~ w. . nJw ~N•v~r OCCWaEO•~•x~~w.~vr ...nrn.wr•~~~w ,.q~~~r - '~i. oi `.:canar.wta , ?w ~ti ~1iw n....ai ~t wJic r.~CE d ~r.i~v -c~. • . . . . .J.,...:;ti , v.... w . . • +o . c~n a w..., w.w ~ ....o.• o• w~ c•..c. ..K ..+c . vw~r. ~ ~ ~ CFRL/.C~14N- .a... w• 4~ M~ a+ ~ aole._ ~o~ .a~ nr,Dl~~w OCCUUtO r.~ ru[~. O~ /M~fiC.:M~ ~ n O~• ~0~~ N~F i~OV~~ 0.~1. ~w0. O ti/ N1~ ~i . ^,~om 'J ~ ~ , Pc• •.w~~ow o~ _ ..o~ ~/b _7./ : > : / :s ~ ~.1/ ~ ;)i~ '.•~V M ~o.w~ cwu~~~, u••~a - U:' :.~?~Gn-w~FJCw. E~~.«inf~ 07 CG~:d.E¢ ' • ~ o . c•...t~~ i ou~o.....~ .•o~.a.«u• • 1~.r~r..W+Cr r.~ qJ~ ~+OJC~ rN ..n~f~s.~x,J.. r~. J~+~Kn. ~ f W~~tw M~ ry~~ ;-~J~py~ . :I.r. ..~C~~~li P+ ti My ~w~ Kf q M C~wM~f.,fe~r~i ~ I~_ ~ r lfi'.f~t~-hAMk ~nry 0~~~~..~r~ \ +_w N 1 r~.~J D~TE 1~FD iKV.ti. C~r_~IY~ c;: .c_.'~V1.^. :':~~iOh'S~tCV~ f,j~J/.~ /;i/i ;y ~ ~L'i"} c. j+. u..~ i.. ~_9 su...._CiwJJ%ESS-CEI:~i.E• ~ 7:e ~v? 7`....i CJ~~P=L - - ~ Y~Cp ri ~ ~ i..:... GEr.v~IAh.:i~+Ovw? ~{EwFtkir J:..cw.::..r-~~.•: .Jiw'..:~. or. w.o.. +~•n - ~ v~c~... 1 " . t3U:ia1 ~ _ _ _ .~'O•. e"CCi ~'IOr1C~-~ ' -Ti D~FE ~.d.+., w., I~~. • ~-v.t- , o. ~ ~ .o cn. p~ ~o..., U.r~. [.r~ t .u J::r.e 2,, ~97,1 -s :~r.:: 7^,? "t Pierce, Tla. 33450 _ ~ v. 5..611 Fw~..y,~o K/~-s:,h~*u+i . • . . • • ,n • o.ri .~c...e~ n ~ou. aeo~?,.u A~r.1970 u~ %~i?a,,{~i.• i` n~~r~~,.~ ~t.+~ ~r.•_ T~..,a i~ ,7~, , : . . . . . . . . . " d~"~ ' " rw~ ~ . ' ~ heroby oertify tttis to bs a trw and catr~oct eo~sy of the lc.aei Registrors reoord o~ file in tfi~ St. t,uci• Couny Naa!:h DtopnR- ment ei fwt Piera~. Florida. ~ (Waming: Not vaJid unless ra~sed seal of ths St. L,ucia Counry Fiealth Depertment is aff:xed.) - N. D. MILLER, M. D. Couny health OfficK b Loul ~~lstrar ~ ~ ~ - Da1~ DOFWty LOCaI Rooistrar . `J <'"3 ` $o~K~~ Y~~E287~.