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nerepy oertrty tfiis to b~ a ttva and aorr~et Dopy of ttt~ Loca~ .
Reg~stra: s record on file in the St. Lucie County Hoahh DpaA-
ment at Fn<f P e~ce. Florida.
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(War+. nq ^+ot valid unless rai-:~d seal of the St. lucl~
County Health Depa•?.~,er,t ?s affixed.)
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N D. MIU~ R M 7. -
Cou^ty h 11th ptt. s_•. 11 local Registra+
De}e Deputy I.ocat Reo~ct.wr
4499
~9?9 !!~y 29 ~ SS
S ILED RAG R:-CUN~O
~ i ROGER
POITRA~~~
CLEW( CIRCUIT
P.ECORJ YER}F!c0__~,.Ca~~~
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