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nar+eb1? aA1fy lftis to b• • tnia and aorrett aoPy of the lExo CLEP.' C==~:..' CUU
Repbtrers r•oord on-fif• in the St. loth County Mealth t)epar+ REC(1~r
martt at fort Pierce, Florida. u n ~
(1Maminq: Not valid unless raised seal of the St. facie ~ 7 9 18 AID X19
Courtly Fieslth pepartment is affixed.)
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. O. MIIIER, M. D.
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Cpurtty Health pfficer b L 1 Registrs+ .
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