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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 StuartT
Florida.
,~5.. (Warning: Not valid unless raised seal of the
--F Martin County Health Department is affixed.)
~ Archie McCalliater, M.D.
~ ~ ~ County Health Officer ~ Local Registrar
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491.92'7
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