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HomeMy WebLinkAbout2229 ~3~soy ~ _ a c• • _ t r ~ / ~ i . I.r 0 a '~~C ~ 7 - • ! ~ ¦ • u c • • '1 • • .L ¦ • ~ ! • -t- 1 ~ • • • • • =~~i;~= ~ ~ r ~ / ' ~ / . • • • • ~ ~ - ~ - i • .u• - ! • _ • emu- • :L • ~ ••i;~ I ~ ~ - I FiEREBY CERTIFY TILE /\CUVE TO L'E A TRUE l'?irD CURRECT COPY OF THE REGISTRAR'S RECORD UN FILE It! THIS OFFICE (Not valid unless the seal of the Palm Ceach County Health Department is affixed) r- _ - ~ ;i ~ ,~r~-~--~-= ' - „~nuary ll, 1979 C.L. Brumback, D1. D. ~ Local Registrar Cureau of Vital Statistics SEAL lriest Palm Ceach, Florida 3 F~LEO A~iD ~E~ORbED _ ~ _ , ~ . , s,,, . - _ - rrn RETURN TU d '79 r ~ 5 Ald 9 • 0 2 3~~- 7~ Home State Tale Ch. _ ~ ~gpk 1°~0 L^^ Rca~+. ~~~~te 105.6 _ - t~ ~ ~ - 'IY~ i _