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nar~aby osrtlfy tAis b he a trw and oarraet copy of the Local Y. lA. ' -
Rpisfrar's record on file !n 1M St. Lucia County Hwhfi Dapert• r ~e ~ ` -
.rtnnt at Fort Pierce, Florida. ~ QlERi1IOIMt~I T ,41?- , • {
(Warnirq: Not valid unless raised seal of the 5/. lode r ~ '
County Health Department is effixad.) ~ x ~ ,
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N: D. MILLER, M. D. t
County Health Officer L Local Rpistrar _ `
Date OaOtRY Local Rao;tt?~t•
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