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OLEN H. TANNER Mate ,Mcy~ch 1,1979
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'j DATE s1a:ED /r... M. t•~ Ttxlt a DEATN DATE SrGNED /r., w,. n.J TEdIE a oEATN
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c~T~ b.. f~,•, ~ March 3 1979
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~ 1 tsereby oertity this to ha a true and aorract Dopy t7t the Local
Registrar's record on file in the St. Lucie County Haahh Dapa~-
ment at FExt P~e?ce. Florida.
s (Warnirt(~: Not valid unless raised seal of the St. lucre
County Health Department is affixed.)
N. p. MILLER. M. O.
County Health Off:~_er dr local Registrar
peputy local ReoletM/
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0.ERK Citf.WT
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