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. , ~ 4U3892 ~ ~ - ~ ~ CLRTIF~iCATE OF D~A1W ~LOltIDA tt~r~ •~~e_MO._~_ T'~ ="Q.~ H ' - ~ ' - - - ---~~"^--'~'-_~_n ~;-.~-~-_-<-83 . . . ~/1~l~~T~ I CoDt qo. U~lJA6 N[1{IG~IVC[ ~wre. wNw u..a u ~..uc.~w, ...~n.... w~... CO M ~ , st~t~ couNn •~+~~~M~. 3 ~ p ~ 3t. Lucie . ~ 66-1~_ ~ ~ Florida 8t. Lucie _ ` • ; ~ ~ CI 11 wuuM e.~wnM N~ly, ~NM 11{?iN.l t. lIHYlN OF t. ~1?f I~t wildM .wr+~N N~~i~. rHN /IVR~41 ~ o~ s ~r ~n~ o~ ; F rowN Ft Pie1~Cf towN Ft~Pie~'Ce - . - ~ ~ Ull NAME 111 wl M I~MfI M YMIpt1^ dM NNN N~nM w hWM~ st~Elt ~if .aai. N~. ?~M~~ y H03HfA4 AYD~i!! ~ ~ INlTIt1111 . _ ~"j~~~ ` ~ } ' .~ww w ~ti~ui.t u..~~ o~~~ ~~r..a~ tn.s~ ~i..,i ` ~ > d ~D t f~D u Oc ' ' W _ ~ M ~[ae__ Cnrli~ta-------- oe~TN ---i~a-- ~ l i. 1. lb O ~AC! }~AR~IED NEYE~MAR~1~0, OA1i O~ b~TM -~I;. AGE~~~ a~~N~~ u~ ~r~.~.~~~r~+ ~ • i ~ ~ MIOOMI~f. 01110~CEY 1M~+A? ~ wt 1 M~~W ~N~e; Ha~n ~ Hla . , ~ c , y IM. wYtrY~My OOCYMT~IO O~w ~ M IK. 1IIN~ Oi ~YfINlf! O~ 1M tl. ilw~il/bt~'U1C! ~ ~w r h~p ..w~n~ 1!. CITIIEH t F M?NAi ~ . ' C7 ~ ~ t10 d~I.~ I~w OMA H O• iYft~Y ~811 IS~.~a Fk~ :Nit~ t : : 'P~~ . _ ~ s.A. ' , 1 ~~il~ 11. MOtHl~'f MAIOlM NAMi ~ ~ ~ ~ w~l;~~ ~ _ x If, Wl1f _~l l Y. AUIlO ~Cq 1~. OCIAI l~CY~11Y If. INfO~11ANi'! lI~NAtYIi - i-- ~tM. r~irr~l ~R r% pw w~e bw.r wnwu NO. - ADO~ Wf ~S8 r : ~ A w,g `ej 1~. CAYf{ OE OMtM M/OIOAIr C~l.~TIlFICAYION ~w~cw~~~ sm?~w u ~ NY ~M 1. O~ N01 owut ~~v ssw»~ ~ ! ; ~a u'~, ti. a~.'j~' ~a~i~ ~°i~?t~ru~ itaaa3 • aq~o~at~d.l.~t1 inf~raL - ; - t•~ ~ ; ~ ~ ~ "i"~""" ANt~CtOlNt OAYlN w~~ w w:s.~~ Y••~w .«wK..n a..r:l`~°"• to --C~rotu~? Art~y ~ioeaa - ~iM M /R~ rM~r ww ~ ; n' A n t1 ~+Nw t*I W M~MMYtMI MrN 4N. Dui TO q ~ ~ ~ ~ «~~`a.:~.~ ii. otab u~tiiHC,?Kr r.~oma+~ . - ( Crw~W~u ~iet~wW r en~`~e? ire wK i ~ ~ ~ ~ ~ n - _ -~.-i?uioiiiii~-- , i ~ - ' .u ? wo~ ~ ~ '~'y l1~. ~~bl Ik O Y 1 t-~q r~ y~ le ( ~ T N 1 YN J ' IfiATE1 ~ ~ Wicio[wT ~YM. M. I~MIe1. w~M. ~1Mt. Y~) Y.wlM. ww it1YtA ~ - 1 j ~ !AI! 1 Mf 1 11 1 . - - i _ , ~ ~ ~ ~ - ~ t11~?! ~t bf 1rt~t . ` i , ~ 1lIJY~t ~ pu ~ at M~~ ~ - - ~ ~ 1 ltete6r a~tiJ~ !Ad t stl~ndsl tM 1fse~o,t~~ frorn None II~_. !e_~r., 1I llw~• 1(art aam th~ ~ir~~n•~d .~t,~ o,~ Ne~?er st i +n ro~ tltt osrrq and o+t tAe datt ~eolcd e6ovr. ~ ~ t ~ ~ 1 1 N i lfc. ~AtE •16NE0 ~ J RAb ' D . _+:Q_ ~ ~ T~ ort. ~w~. . w. o er~ o~ ~ . ioN ~pa. ~s ~ ~r.+~n # e t * ~1 ~la. ,,t A ? N ~'1 fIN1AtY~{ l~. WNl~AI 01~/Ct~!'! IN{A Y~ AODIIESS Y, N. - , r . t i t • ,1 , 1 ?i~~o ~o RECaROEO . ; ' SL LUCIE COUNTY FLA. ~ ROGER P41Tit~S ~ - ~ ~ C! ERK CskCUIT CCl1 T f ~ - ; . -:It~EU ~ ~ MAr I l i2 ~ a PM'78 - ` ! I Mrabr oMifp thl~. to bs • ftW •nd oorrett copy of fht LOC~1 , , . i. ~ Rpi:h~t'~ rtcord on file in the St. Luti~ Count He~lth i=> ` ' ~ ~ P,.~~., Florid~. y o.P.R. . 403892 . ~ ~ z_ r : ` . ~ = ~ ' . .~;1 - r . ''c;~~ : i ~1NKnin~: Nof velid ~nles~ rsised ia~l of th~ St. luci~ r, t ~ ~ Co~~t~/ H~~Ith D~pirtrt»nt it ~ffix~d.) - 1 ~ ` . ~ . . " f-: ~ . . , . , ~i N. D. MIItER, M. S ' _ ~ ~ • - ~y ~ ~ :-r,.i , . t.. ~ ~ ' , ~ " Gorn NNUh OffitN i /oc.~( Rpish~r , i v r,;,~ ~ ~ + ~ 3 ~ _ ! t ~ ~ ~ , : ~ ~ i , ! 1' ` ' ~ , ~ . ~ ~ ; v„ . ~ ~ ?g . i 1 ~`~~~:y~ ; f i Orp~R~ bu~ R~oi•+•~+r . - t ~ i ~ :~;x287 ~ 53t ' ~ , ~ ~ . ~ ~.G.:~ _ - - _ _ _ _ _ _ ¢ v~ ~ l ~ ~ .