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~ CLERK 0= : R,:Js~ ~ ~i;;tl~ - -
~ I HEREBY CERTIFY THE ABOVE TO BE A TRUE Alm CORCv~"01}~. ~EIE 'tD ON FILE IN
~ THE LOCAL REGISTRAR'S OFFICE IN THE BREVARD COUNTY HEALTH DEPARTl~NT.
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~ (Not valid unl~`Che seal of the Brevard County Health Department is affixed. o
~ = OFF. REC. _
m~ l 65,4 - -
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Date Chief Deputy Regist ar
O. GENE ROBER'ft • JOHN HURDLE VAL M. STEELE LEE NIENNEI! JOE Nf1CKHAM ROC~~ A„~ !1. C- YY~~k JR'
Vip pyimisn Distriq 3 Datrict 4 District 6 -
s pistrict 1 District 2
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~ 49`719
1960 SEP -9 AH 9' S3 ' ~
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~ RoGER
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p CLERK CIRCUIT CG Rj~r
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