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~ 3.•,~- R~~~~ rs ~f rd on file in tfie St. Lucie Covnty Health Depart-
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~ • Counry Health Department is affixed.) ~FQ
RECOR4 YE"'
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~y. 1 ~ ` a 29 pN'~Z
_ j~, N. D. MIiLER, M. D. a',T I~
• Counq Health Officer ~ Local Registrsr
~_~-z_~ ~~~s.r.~_t~~ ~ . ~s~~., 239648
Gat, ~eputy loc.~ Reg~st~ar . .
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