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j I hereby cerMfy 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.
- - ~ (Warning: Not valid unless raised seal of the
. . Martin County Health Department is affixed . )
.
- - , Archie McCalliater, M.D.
- ~ County Health Officer ~ Local Regiatra,~
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-mate puty ca eg stray
49`8526
190 SEP -8 '
AN 9' S0
FILED RMC FECUB[~0 e
S RQGER
POjTRA5A~
CLERK CIRCUIT C t ~
RECfiRO ~'ERIFtE:^..__ F
0R
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