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Home My WebLink About1932 "1 - ~l ~ ~f~~~ - L.L'.':. it':Lhi.:. ~i;~ D~NiH ~ ~cy.a~wt..l ej ~ S: r:tF. .,~.i 3:r{...:..:.I.~.rc 4~r1.e. iTA: E FiLC t~0. u:.:~:~.,a ,:..::,a F:.O?'i~n if7~. Oi )i.h2 IN ww~a.rt.~~..~..ru ~ ~ p~G:STRAR'S t`O. ~_4 ~:IIMwNli.T ~KX DiCEwSiu-r+~t ...a ~ .•u ,Sex ~GwTE Oi ~Ewtn ~••o.~., o.•, Ri +ai,iw.i F3t :,itu:r~..s , WII.LTr',~: J :?~":'r~5 ' 1 20, 2373 ~e A~r~ iwGF ..~.+~..•w.o...~~d.w ..a..., ' wG_-.•u • ' : a.. ~ J~:E Of 6,i:n.+o..r», w•. ;COaN2r Of DfwSn ~ uc. ~ vurr ~ ~ , n..s.;- . ~ < . 4izite ~,.72 ~ .w• - = , ':ay ~S, I9Q0 St. Lt:cie OG~2 U^%, ZGN'N. Ol .OCwi.O~+ Oi Ofwin ~..a.;,. :.n ~s ~ nJS~.:ti G2 Jini'. 1~S7~7b7AN-h~4MF ~r ~o~ w u.n~. c.n f~r~* w wwu~ ~ .a.. ~...~o~~.o~ . '';.r,:~ „ Ft. Pierce ~ Yes 'r'~' Pieraa N.errorial Hos~ital ~ SiA1E Ji 3:iie .o wot .w ~.s.., +.r~ ~G:IZiI. Lf wru~7 C~.,~•.::Y ~ w`a:..iJ. 1.i'~ 'n N1A~u{J. .S1iaVNIKG SI'OUSE IJ ~J~. W~~ YWM Irr I CWi.1~~~! . 'W'•~iAiJ '._~~.COIY~Gw1~ - , T:, st Virg:.nia Ur.~ •~t~~i~ I~at'~.erine FYey .a~ - - - - - - - - - - ..a _i.~.. SOC+~: SEC~i~it hi:rilfR 'v:~.w: 0.C~la:~...~ . . .+~o ...a. ,,....o ~os~ o. ~,KU~ Oi M.S+~.ESS Oi thDUST~1f ' 279-OZ-5979 ~ ~lc ad ~ 521= _ Y (i:....i~~) R2.~ta1 ~'CCerty 4". tEScDi~+Ct-StwTi ~CONN7? .CI:~. 7y'N\. Ji[ IV~Ai~V\ ' ~1Wf CN~ ~.~~q. ISU{ET ~D hyMPQi ~r ~ ~1~~C.~~ t~f M w01; Florida ° St.: ;:cie F` P~erce ~ Yes 1231 E~ster ~:v~.Y~..•e iAlnt2-N.?vj r~~~I ..1s ' M~:nEi-MAIiJfN NAMj ~uff . 1-~:~tt.` r~ii~~ ulf ' :f Ja-:res I.c-e :at:'r.~~s Idella A~.~~~zr:ean . IhiQiW~.Vi~7+AMt MA?:~i. w:i:.;i'.S ~s.u~~ M~.~.o. ~O. tm M W~w, at.~t. ~.r~ XatY:erir.e ~:atthe:~s 1231 ~ster Ave. Ft. Pie:ce, Fla. 33450 lAC DiwTti WAS Gr1E0 L'I :r'i~ G'•.Y Gti C<uSf 7ii : vE /O~ :04 iei..~x'J '~~.ru. c..iir .w ~ ' ..~ra~ i c.~e~ ; ~,li,'~.:JUO-~i _6'1.~~ ^ ~OX. 1~ ,~'.TS ~ . 2P~- i ~ 6~~~5 i: cJ r~- l ~ ~ ~ ~ E - .:.>.,~o......... ~ F!~/~- G~,V~.:w.::~+~1 /~.'1/`~~ /~,~~-i~,'~'~1 .c.. c..~ ..a ro (c; 4 Zi.OS. ' ` ~ .~~~~.~Ti C~ vi` j W~ 10. M~i ~ CG 3~d~ra 'w.• J~. ~ " .u....c a~n . ~ , - € c c.~f~ ..ir~ . ~ ~ ~`Cv.~; .v ~ ti ~.,r~ ti- ~ S ~ ~ ` ~ I~iT w O:r.E~ S:GH~+~wwT CO~+J.7~G~+5. eo~w..o+s ew.~~ ro ~u.. .o~ ...r.o w e..w w.ew •u~ . w~ ' wUTJ?Sr ~:F r(5 rue r . - s ' , ...~•~~s F ~t~~f C ~OI ~ Li~~1:. .ti i{il~~.ti~w4 ~~rli ~ , a7~ ~ O Ol~tw . : ~ " "'~T. wlG~E W-~D.~iE ~f av..~1Y ~~+Jd ;.y ~~V ~ 3~ ~ :.f. O+ u+.~t~iar.w(D j • ~w . w . a nOw 1n•ua~ OCCu1tfD ~ ~••ru ...~„u o~ ...wn ~ o. r•n . ~ -r,~r~ :v~ .:c E :n.~..aY wT wpa[ ~.wCE Gs ~.~ar ..c~~. a~.:.i, ..~z„ ~ ~ .n o• ~o~ ~o.r.u .me.a*e. .s..o.,~ • :•GLw:.Jn .s~.u~ o• •.•.o. ..o.. c.n o..o... u.*e~ :N ~ CFt7,v~Cw:~Jt+- .a.~. o.r .t.. - ' . ~ ' ~ ..o s.~ .e~ e a. ~ ~ oairo ..o. ..i.~ u.,, u[.:.. ottu~ata . . •..u. e-. t.. •..rs.b.r.: ' ~ n.. ~oo. ru w.n.. ~ ~ :o:. 3/9/73 Z°,: -~/'-0/73 4 10 73 ~did ~ ~6:50~ `r,. ~ 74~ iw :o s:.~.:. CE;t.a:U:.~.~+-.~EJi~1 E~ww~it Ot CO~Gr.E~. o~ . :.y ;,,.s., r.~ oec~w....~.~ ~p..o,,,.~eo a.~ ~•.......~e.. c. .:a..w~c~ :~.e ~..~>.4.-.:.., ~r - 4 .w I~•r_ ..e.• ~ 1~~~ .~+w 0::~~~(D O+ M 0~~~ ~nY iM N~~t C~~1~~f~ )t~tfGr,•••ti• , ~rrr`'i _ M "i Cit:.f.ii-ti~wf m•e v~~ ~~7~ S3~w ::F " - ~ ' = :i~fl$::.~.r:j Wrl:l~rs ~'S J• , ~ ~G~~,'l/ , /,1.} _I wu~~ w ~ 1//~) JA7E S.Gh[G .N~w, ~~~.1~~~!w ••a ~~'_~Lh .NV1'V\ ~ ~ Y i+.ww:nG j~FSS-Ci~'•ic• ..n o. c ~ o• 0~--7 sr.•~ ~ 7(~~ ~~rth 7 St ~ort Pierce Fl. ` 33 -r~;~ ~ ?,.:i~.. Ci2mw:A~.. i.Fw~0Yw1 Cfp~F:c+r Ji ~.~ww:C.Y-~.wi ~.Gtwi~~. un a ro... .r.,~ : s~i:. j ~ ~rial F.ill~es ~ : G~~~ s ' F`t. Pi.erce F? or:c:a .-~-uT J.~:E ~t ' w~ ; f~~c..a. -r..:~+_ .v:-eSS ^ u-. r~ a. or. o~ tOr., sr.n. t.r ~ ~ A. ril I2, 1973 ;;~.~Y. ~:C:~.~,, SOZ 7th St. , Ft. Pierce, Flor~ca 33~~0 . . . =ri 1. S..J:2 f..r El~~ ? ~.7 a_< a / i :,.ic:..-i.3~.::~:F ~ / ,o.. aee4. -t i~ ~r .a.. .cc a~..~ . ~ i { 7 ~ .ar.:97G i;~~-//41.~ ~-~~L.-r~!'/ lr,._n _ c.-. ,fi,.`-- - .~Y ~iu a~s:^l~ :C, ~7., ~ x± : FI~ED Rh~ ~.=C~RDED St. LUCiE LOUNTY FLA- 1 hare:,y corfify this to be a true and corr~.~ copy aF tt~a Locai ROCF ~~`>>T~AS ?t=Y Rcgistrars r3oord on file Jn t~e St. Lucie County Hca~n D~a~.crf- CIERR C t= ~Utt COURT _ ment at FoK P~erco, Ftortda. RECOR~ V~F'`i~~ _ _ " ~ ~ ~ pu ~~r~rrtr ~ 4 i _ (~1/arning: N~ va:id unteis~ roiaec! seal of ifia Luc:o FEa 1 2 42 1' 1~~~ ° Coun Health De artment is atfixe,~. . , ' _ ' N. D. MILLER, M. D. ?~y ~ y.-r i ±`f Co tleaith Off~cer d~ t a! Ragi;trar - ~ , 3 0' ~ 3 ~ . • . ? ~ _ ~:l (f'~ ` _ . _ p~+~. DofwtY LOGe) Reaicfr,~r / ~1 1~"~ ' S ~_3 ~''3t,,•~ ~ . ; LQ~IY ~.Frtl ';.y~ "