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r"~ - - j ~ A~,stract & Title Corp. o~ Fbrida ~ ~"l~et~g, Sf.~t~e Depar~men~ oY Hea1tH Ut~6rr ~I lianc~ and Dapartment seal I certif~r that tbis la a true photostatic r2proauction `Pi'o~ a miarofilm image o~' the original record. y~~~y~ F, t~erton Say'~~~ t ~ ~~SF"11`7 ~jt! Stw~e R~3i.^+ra~ D4 NOT ACCE°T T~iIS T~~tl~"'tT^T WIIS~D SE~L 0~ T"T : , . " - ~ ~ - - - -~S AF.;:T. - s _ t. ~ ~ , ~ ~E ; - MAR - 6 ~912 . _ _ y • - . C~~ } ` r ' w v ~ ~ ; ~ ` ~ ,.'l ~ ~ ' - r~ t . _ ~rt ~ . _ - ~ . - 600K PACE 421 4-~::-:. - -