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F U•H.'+ - CERTIFIED COPY OF VITAL RECORD -
• H M _
w 3 O d1 STATE OF NEW MEXICO COUNTY OF-:BERNALILLO;--
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~ - w a~ 1a Michael J. Burkhart, Director :
~ 'a w ~ - Health Services -Division ~ • ~
~ a ~ y Health and Environment Departm,t~•~`~
1.~ ~ ~ This is a true and exact reproduction of thQ; ~,yf• ~ _~ument
'a`-E' ~ officiall re istered and laced on file _
sew H ~ Y 4 P ;''`t'-~•, r'~~~=- ord s
> w ~ aG v Section of the New Mexico Health and Enviro~ioe •~SeF ant in
a a ~ ~ r-.-•• N
F. N a4 N Santa Fe, New Mexico, and issued under au~~~' _,State
o E''~ Registrar of Vital Statistics. ~r~= ' ~ ~
. o N ~ ~ December 4. 1979 -_.~~i ~ ~L~'• -
p,~ p ~ w DATE ISSUED : -
ow~•a.~ -
u a ~ u Michael W:•:" ann
~ a w m State Registrar -
~naaNv~
H w v1 d Vital .Statistics •
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