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~•:~i~~ ORANGE COUNTY HEALTH DEPARTMEN t
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E. WILLIAM ALTON WARRFSi Male
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- - CERTiF~' COPY - - - - - - ~ ,
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tJ I hereby certify the above to b~~~; cl~rect~ copy of .the Local ReH;i.strpF:~~;~~ 'rER;4EU
~IRge Cod '1tea1~tT~~ep~tment, Orlando, FlotidA:=-
record ~~#I~~ i9 [ Et-~ ~
~~LUCIE C0t1N .F _ - ~
CLERK CIRCUS y Health. ~,Tr~t of • -cal Registrar
~39 p Chief Deputy Registr -
Date Issued ~ ~ ~ R Q -
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k';~Rt~Ti:G: Not valid unless raised seal of the Orange County Health Department is affixed.
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