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Registrar's record on fik in fhs St. Lulls County Health aPw• r. r _ -
~ ment at Fort P~e?ce. Florida. - {`y' -
(blaming: Not valid unless raised seal of the St. Lulls ~ - -
= County Health Department is affixed.) _
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N. D. MILLER. M. D. ~ .
County Ne th Off;cer b Local Rsgistnl - -
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5 Ds~ DeDufv Locsl Reol~t•a• -I
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3 FILlO /lhl2 GEGUr1uE0
9 Rp~GER
POItRASA-
CLERK CIRLUif LOUR
RECCRD Vf7r'1.'C._
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