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t h~Y certify this to be a true and aorrtsct ` ~ `
SPY of the Loca~ t~tA~~.
Regtshar's'record on file in the St. Lucie County Heaft?t DsPart.
ment at Fort Pierce, Florida. ~~~lINT • `.:4 ` -
(Warning- Not valid unless raised seal of the St. Lucie !;L~~~~~P•?ftf0_~ ` ~ ` .
Yeaith - {
County Department is affixed.) : ~ r." -
4'76930 L ~ _ . -
• Gouro~ Health Officer b Lood R istreT ~ 1
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~'ePVfy Local Rlloietr/fr - - ~ -
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