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~ this to be a true end correct coPY olF the Local -
1 nsrebY HNlth OepeA• -
Registrar's record on file in the St. facie County 1
f ment at Fort Pierce, Florids.
(Vyarning: Not valid unless raised seal of the St. Ltxle - , .
- County Health Department is affixed.)
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N. 0. MILLER, M. O.
County Health Officer !k Locel.Registral - _
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~ Oeputy LpCel Reotefrw? ~ .
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