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E 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.
1 (Warning: Not valid unless raised seal of the
Martin County Health Department is affixed.)
Archie P~cCallister, M.D.
~ ~ County Health Officer SE Local Registrar
5`~
~ ate Deputy Loca Registrar
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- ST.LUC~ COUNTY FtA.
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