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1 n.reby osAlfy this to ~ • true and oarr~t COpy tft~ laa ~ ~ • , _ '
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Registrar's record on fik in the St. Lads county HNMh Deprt' ~ `
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ment at Fort Pierce, fiorida. 1 ~
T9 SEP 12 .Ate il= 38 ~ y ~ ~ ~ 3
(Warning: Not valid unless raised seal of the St. Lucy l~~ ,
County Health Department is affixed.) - ~
f:iL£p ANC RECORDED * ,a ~ ~ s
~VdE >;OIkITY. f l.A ~ ; i ' ~ t
PDITRAS
N. 0. MILIER, M. 0. ~tpllT C T ~ r ~ ' .
County H alth Officer b locel.~iRif:ED f~ , i l~`
~ DeputY Local Reoietrtlr
45828'7
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