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Registrar's record on file in the St. Lucie County r .
ment at Fcxt Pierce. Fbrida. [Q 26 ~Q ~ r. ~
F (Warning: Not valid unless raised seal of ~ L~ r • .
= County Health Department is affixed.) t
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I - N. D MILLER. M. D. Cl.Eh:'r: ~ • _
Co y ff.• er 6 local Retgistrel ` ~
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peputy local Recs~•s•wr
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