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v. e.~si~ t~ ~ 90/°Ol~~s 7th. St. i ti. wte ~teo. ~r wc~u Rce . aabnu~ s u '
~.e• g~~ g~.pierce Fla. ?-6-64 Acina Lee Denie~n d.r.
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~ hereby oert;{y this to bs ~ true snd oorrect aopy of tF~e Local
~ Registrars record on file in the St. tucie County Health Oepart- ~ °
. = ment at Fo~t Pierce, Floride. o°
~ n+ r ~
. (Warnir.~: l;ot vatid untess raised seal of the St. lucie w~;~ ~ ~o ~
County hes~:h Depariment is affixed.)
. , ~ ~
' - - ' ~ . -
- N. D. M!LLER. M. D. ~ "=+_,Zc
County Heaith Off~cer b local Registrar ~o~i. ~N~o ~
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R p~ Depu local Reyistrar •
60~iK~V3 FnuE~~
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