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Y hereby certify this to be a true and correct
" copy of the Local Registrar's recor8 on file in =
the Martin County Health Department in etuart,
. • Florida. ~ `
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~ : (Warning: Not valid unless. raised. 'seal of the -
' ar,~~;y'~; :~j'~~~~~`, ~ Ma~Ctin County Health Department ie affixed.) -
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~ Archie McCallister M.D. ~ ~
` County Heal~h Of foer i- Looa].. Registrar
~ : is . ~
>i ~ ` Date l~`~ Dep ty Lgoai Reg'3atiY ' ;
ti ' t ,
-°R 31 ~68~
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