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~ ~~;'"`~h' NOV 25 1967 HOLLYt~l00D Mn~i . GARDEV3 BROWARD COUtdTY F~. _
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I be~ebq'~ r' a e above to be a true and correct copy of the Local _
Reg~'' ~~~~~~~~~-file in the Broward County Health Department at
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(i?*a ~~:''Nat ~:~nless raised seal of the Broward County Health
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Cout~ty Heal[h Of f' r and Local Registzar
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Deputy Loc Registrar
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BLLIS~ 6PENCER~ BUTLER AND KISSIAN, ATTORNEY9 AT IAW. HOLLYW ~QQx~+~7`~ PAGE ~
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