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I hereby certify this to be a true and correct
copy of the Local Registrar's record on file in
_ the Martin County Health Department in Stuart,
• ~ - ' Florida . -
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~ .4 ~ - (Warning: Not valid unless raised seal of the
_ -I _ ~ • Martin County Health Department is affixed . )
• t,,;- ~`.F;~- Archie McCallister, M.D.
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~ •~'Al:~ County Health Officer ~ Local Registrar
I~0 NAY -Z AN 32~
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