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I HEREBY CERTIFY THE ABOVE TO BE A TRUE AND CORRECT COPY Of THE RECORD ON FILE IN ,
THE L%CAI. REGISTRAR'S OFFICE IN THE BREVARD COUNTY HEALTH•DEPARTMENT. _
(Not valid`vmess; #he.sea~ _D~ .the-8revard ~:ounty Heaith.Departlnent is affi~ced.~- -
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l,~~r 1980 JAN 3 I A" X1.5
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D. tiENE 1lOSEIIT= ' z VAL M. ETEEL~ LEE NIENNEII JDE NICKMr1M ROeEAT L NASOI~ N. G ININiTEAO. ~R:
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