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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,
-t Florida.
- • _
,
(Warning: Not valid unless raised seal of the
~ Martin County Health. Department is affixed. )
~ _
• - _ : ~ ; - Archie McCallister, M.Dr
• -County Health Officer 6 Local Registrar t
ate -Z'L-~~f~. `
Deputy Loca Registrar
• F
FEE. KOBLEGARD 81 TEELr P. A.
ATTORNEI/E AT LAW
P09T OFFICE BOX 1000 r~
FORT PIERCE. FLORIDA ,9430 U'111~~~ PdGE1V~7
Ttc[~ROn[: (90ti1 ~6I.5020 D'11/!1 r [
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