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I twreby certify this to be a true end correct copy vt tt>f Loaf ~ ~ .
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Registrar's record on file in the St. facie County HNhh Q~ttf~~ ZZ PM. 3 ~ y ~ ~ ~ -
ment at Fort Pierce. Floiida. - - -
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(NYarning: Not valid unless raised seal of the St. Lucy ~ ~
a Count Health De artment is affixed.) r
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N. D. Mlll~ R. M. D. r _ •
County rye. hh Oft•c.er b local Registrar ~~r,` ~
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Oat Deputy local Reo;~rar. - - ry ~ ~ s
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