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STATE OF GEORGIA
This is to certify that this is a true and correct copy of the
certificate filed with the Vita? Records Service, Georgia
Department of Human Resources. This certified copy is issued
under the authority of Chapter 88-17, Vital Records, Code of
Georgia, annotated, as a?nended. -
WARE County `
• Custodian ~ ~t '
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E State Vita Recor s Issued By ~ -
Registrar and Custodian ,i',.--• ti ' tl< •
3 Director f Vital Records ' '
Service (Void without original s~'tl~ei -
impressed seal) ' : f' :~''~y
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ST. LifCIE COUH i YY. Ft A.
ROGER POITRAS
i CLERK CIRCUIT LOUR -
RECGRO VEEIF~EO~ •
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