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HomeMy WebLinkAbout0544 461.945 . _ CcR7!Ir :i:A7c 4: DcA ~ N Q.p.•f..•M .1 II..IIL ow.i N.1.e611u•11.• Cr1.hN eTATN •tLN NO. Irl\n111V IM IM,1 IIt : L O Ii I D J[ 1r11, O• tUNI IN •.~••K ~+-•r~r 11[61N7NA11~• NO ~l (1 tii?IANiNt INN O/CIwf10-HAW ••/fr 111 w?'a100t IN NN pAt! Ot CIAtN 1 _ow • N•e l .,iaNlN,e C/11~T. ` ~ t rtalo }t Janu,ry 21, 1976 eACt r'rrt, +Nq. •wIK •r Iw••w IAGI -1•fl w.••_ 1 _ _ ...el. _r N__+ o/1u 01 wM.nwrw. N•. CdRltt Ot OIwIN t1(. I f•t(w(1 MfIN•• ttNtl r ••Ot _(_.t.rt i rrprN M H•f 1 6602 l'A~ito 90 ~M~, _~~i rsay 19` 1905 Saint Lucio 1~t, -OWN. W IOC w110N O~ ~IwIN rf+( (Iw 1ww( N°tMA\ O~ O:Mt• [NSIII rw rp w 1•W(, 6w1 f•tl(r.r wwr(I frl(r• ••1 O. w+ 1--•~ ~ t~ ort Pierc -Yes 1, ort 1'iorco t+temorial IlosPital S/Alf a t)itM rw rot r r • r•w• i1tNIN p Mnul rOWn~ ••A•tND Nl Ylt MMtrt O• tll•IrlV.af: S?OVt1 rr .w1 .•r1 wutlw w•r• r - icflwrlr. r wIp°wlo. dvOljto / vrc+r r r+: •1 •IIe1r[• • Illta].anl u r.1 Nr..Ir. USA 1N_` i'iarr:lecl Ixmoly t3oistortioic] SOCW NCVnN MIAtfIN ~ VSU?1 OCCVIAr ~ .v1 tw M .oN •O•w •Mr.re wOfl a i[ - - - - ' _ - - - - ,r• , t1•,w 10?/ 1 -w W tA,S.liss o. rNlutn. c'(:~aN• rrl +p•1•rq Irrt. Ffr M •1 •.•t• 1 Np;, ,_,3_O_G-•~_i3-u000 „ liyo Pliysi_c:ia_n &_Sur_c~o_ot~ _ i?tadici.no •wuow. l/SN/INC1-SrA/l CouNn C/t?. t011'?•. CI. lOCA11t1•( 1 wfyl (r~ lu•Kf ~Sltlll wN0 N11A1N\~ . VI(wr of w rV1• Ur. ivu 1•I i;lolida rn St. Lucio la Toxt t'icl~~ Ir11i Yep 1(.703 S Inrl:ian t:.ivCx IAIN(•_NA•/1 rr/f• rNll 1•N ~W)III(tl_WICNN NAW r,If• r•eelt 4N [ 1, Carl J. Rudol ii If Nin[~ rtorrison 1titOWANi-.NAW 1AA\IUG AOOtt 11 rvNlr o. .re. [Kr M ro..r. u•1•, r 1?. xXmely Rudo1 h ~•rf703 S. InrliZn t.iver Dr. rt. Picxcot i~l.:t. - - IMt \ otwtN tress CAVitO IINr(e oalr OM tiutf ttt lwf ?Oe lel h\ A•/D N . •r: =ni`w'11i:T K Nrwlr+ 0«111 M•s }i w'i fI~ r ~ ~ ~ y / t` tl Ir1 rlr 1' M M, f••t• (•w .arr r[I N.._____.~ ..~.J Nrw. tabu up 4~ r ) ~ , ,t / , / / / • , twtT • OnM! tKYN1lKwiat CONMI•tTtf. ro-.ybi..1 rlw,•••rwrn • n .ru%r. m uNr e•nr r rur twUiOrt~ T• rtS ~m rnr. , / t •l1 M • 1'h •1• Ir Nrr•_wwe f•rM ~ f- i.'r S I' ~ / ~ e t! i ~ " c i ~~~~~'L~!! ~t. ~ err 1 /'/t M •..r. Jl t L..w.•.1 •Ir TI•.t rn. rM ~ - Ioi11l 81 VIIIre`7 .~ro..•.. .1••r LIU• ~t J r awrc •tt1. CH 1.~•i rlfr..llq / ,l - ~NOrr IN/Vt• OCCW.10 •(•n(..•ro(r al~rr.•.. . . r w(. .11 ~ ~w •ti1 _ L ~ •i 1 1 / i - INw+..wrw(1•t ~h•Ct Or+.w»~.•~•w . ••y. ••r•o•., 11MAbOY - .wr••rr•a••re,rm .»ro_v. f••wr . ulr••. •n e•~rr•r . •,.rr wrn , •r •1•r••n . + k• IM 1lff CII/MKAtr[YI- wti M• ~ ry 1•• •re .•/r r'•r•r ar•n 1•r• •~t •I. r•.r .yr +x•101 •rw •w•fKr•r ~ rww ~r/f •1•I ' •M• l.•(I Mies. 0([VNI• ~I r» M •N r ~ I w CI•IYNrrI rMt• rr -i'rf _.}r• 1'r1 _J~1•,_ -74 -__M •O ••••[•rV •fr lr~w• I 4 w1 ht A11¦IYIMt O• CO••1Ntf nr •w M r••r• ry M -f~i11•irww i•1 •ir w•.•n r• i.i• - .t_ I••rr,.r+r ,•.1 Y•f. .y w•r1:..•',... r• •f•.r T . _(wr_ , _ ~.~~~__Y- 1•1•w• n([r•... .••..•r R.rr •v •M M •M f.M•~1• (••'rs • • i I. / V.v Y 1 {I••rl l}• NAU1 •n,r n. I _ ~ - _ _ . . S•I .rIn11N1 --~1 _ . _ _ , ~ ~ .••.nl [+..•r1 ~6Ai1 iliil/o i.. .u•r 1 a.1..G FM•Af tt •r (lryr ..rr . r _ •a'. -----__.__Y, Iv j.~. 1' _ _ /~I~fl _111.( ~f iil•!•t ItIN•Irr•1 t(W)•AI f1••111••I'I [•!•••Ilti•-... ••1 I(1. At1i)r1 • •nl wrr J + _ tr. ~;1CJ'+11i;1n11 I:r? i•l:r i~lt:'CCt: l'.lt:~~i:1~:0111ii:. _ I'dl"t t~].a1C0~ r~UrlCjrl ' C ri Nit - r.. .r.•. ~•1r•n e•, ..rr.•/ u..r •r... •~,a1 ..•rrr .w 'Y ~t.~w ~.t o.~ - r i :N .l:utn,ll'J' 'b, l/t r. i'aia; i~ut;Rt'11 i/t~iitC~ iiOX 1'~:• rhlt2rC0• t~1 3~~.,~ 1 ,{rr. Sw!+•'Vq .af tiltt 4r.vI/r•f IO•q •t(Ir•10 10C •1 •f 0•fru• toto r,f ~ i ,f . ' ' • `rw Jaltual'y 2G, l 97G - - i !tereby Ce?tity this to be a true and correct copy of the local Registrar's record on file in the St. Lucie County Health Depart- ment et Fort Pierce, Florida. (Vifarning: Not valid unless raised seal of the St. Lucie County Health Department is affixed.) - ~ N. O. MiIIER, M. D. County ealth Officer d1 local Rogistrar Ddr Deputy local Registrar i9i9 Oi -9 P':': 2~ 27 FILEO Ahl; Ft CGnUt[t SLLUfif COUVTY.FIA ROGER POITRAS Cl.ERY. CIA~l1tT COU?RT 461.945 ~.,{,r318 X43