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>K _ _ _ ON JLtl~. 28 1979 At 3 :00 P._ M_
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aJohn N.~Sims, M.D., 601 North 6th Street, Fort Pierce, FL
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Rpistrar's record on f)h in the St. loch County Ffeelth DeQaA- ; ~ ,
ment at Fort PierOe, Florida. ~ -
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(WarninD: Not valid unless raised seal of tM St. loch - ~ _
County Hesith Department is affixed.) • ,
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F N. D. MILLER, M. D. , '
County Health Officer 6 Registrol
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