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490613 I ~ o ~ ~ 3 S.
STATE OF FLORIDA -
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DEPARTMENT 0~ R~eli~t Iiilwt ~w~
Health & Rshabititvtive Services -
QIS~RIGT NINE PALM BEACH COUNTY DEPARTMENT OF
~~I!~kM~RTIFY THIS TO 8E A TRUE DOPY PUBLIC HEALTH
REGISTRAR'S RECORD 901 EVERNIA ST.
s ~ P~~ O - WEST PALM BEACH. FL 33401
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'"rr""[_... - --Robert-- - --E. Parcell, _ ~ Male _ lVugust 2,1479
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_A Wiite 67 _s<. .June 20 1912 __Palm Beacfi _ _ _
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0 ~ West PaLn Beach h St. Mary's Hospital ~1i~iatient~-
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Ill'i~b~""'' U. S . A. ""1~f'i~ Catharine Nlayrand
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tJ. E3ward L. Parcell t.. Stella Magee
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- t>e Mrs. Kay M. Parnell 20 Celestial Way 'Juno Florida
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490613 -
!~c0 JU`~ 24 A!~ 3~ 10
FILED BIKE M~C6RYt D
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