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rtanby certlty rnls to ue s true and correct copy Of fife I,Qpal FtLEO FNC RECUt.ut U
QEfg~strer's record on file the 5?- fuels Counjy Health OtpaA• Sj.~UCIE CP~IjRASA - -
rriarN at Fort P~?*ce Fin++.1~ ROGER
CIEPK C~CUtT CO'JPj~ • : _
~yyarning: Not v.l i u^`e ~..a~cs.i seal of'the St. LYtie ,f.
County Mea"~, D+~ •,Inne~,t is affiized.~ F"C~'Otr..~ .
N O MItIFR. M- 0. 4 I / U03
CpVe,fy r1 Ith Officer ~ 1 pistrar ~
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pe}~ Deputy local Raoisarl?
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