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~ Hereby csrfitY this to be a true a+7d ootYact Dopy of the Local _ .;r
Registrar's record on file in the St. facie County Health Drpat?- : , . `r ~~i= _
ment at Fort Pierce, Florida. y
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(Watning: Not valid unless raised seal of the St. Lucie = ~ y ' 1~~ f ,
County Health Department is affixed. ''3j ~t
FILED AND RECD
N. D. MILIER, M. O. _ ~ ~Ci~ ~OUNTY.` s~` .
f County Fi atth Officer b local Reaistra?`.:~}~C `l~R1F`~~"'~.;; -
A nAn
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p~ Deputy local Ream+•~.? ~ ~
U R -r< 9'
' bQ01I JIJ~ PAGE 2987 ~ o ~ -
CLERK Cis~~••T ~~llR'
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