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' 8?ete t,t Ftoride CER7IRICA7B ~OR DEATH
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I hsnby certify Mie to be a trw end correKt coPY ~ ~ ~OCeI .
Rpietrer'e record on file in the St. facie County Hselth Depart- ~ ~ i
ntent el fort Piero, Florida. ~Z9 A~ .7 ~ Za -
(Werninq: Nof valid unless raised eeei of the St. ltxi~
County Hselth Department ie affixed.) ` C C ~ A• ;
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' N. D. MiIIER, M. D. CLERK CIACWT
County He Ith Officer 6 local ~dMliIERIFIEO . - , ~ v
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~ afN Deputtr lACal ReplatrM ~
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