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FILEO ANO REC~Rt~E`15~:.,
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1 hw'eblt osrtihr fhM tb be • free arld oarnct aopp of tffi lquh ~ ~ C Ef~lt'IED _ ' - ' '
E Repbtrar'~ record on file In the Sf. lode County Heahh Depart-' ~Q ~ r ' { ti
11nrM N Fort Pierce. Flo?id~. ~3jl~~pliw _
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CourMy Health Department It affixed.) - - ~ 3
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N. D. MILLER, M. D. i~
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~i Counry? Health Officer ~ local R t{c~~ ~ r •-G''"P: y ~ .
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ote oeal,f,? local R,a~~•.,lr s 1
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