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Q~ ~ I herehy certify this to be a true and correct
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f t h e L o c a l R e g i s trar's record on file in ;
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~ o the Martin Couaty Nealth Department at Stuart, ~
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u~~`~` z~j~% ~ warni n Not va1 i d unl ess rai sed seal of the `
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o~o~~ r,,~ ~;>>Q=~ t`~~~~b ~ Nartin County Nealth Deparbnent is affixed.)
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