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~ hKeby Certify this to ~ e free e?~d OOffACt SPY of the loce~
Registrar's ?ecord on file in the St, facie Count' Health ppa~
menf at Fort Pi@?ce. F;o-:da.
(Warnir?n: t.!ot v~!id unless raised seal of the St. Lucie
County Neaith Osaartm~nt is affixed.)
Officer 3
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