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?,~,,;,xN, ROBERT LEE CLARK , Male ,Nov. 9,1980
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White so • k AMay 6,1905 St • Lucie
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_n_ Ft. Pierce Lawnwood Medical Center Inpatient
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uEU.\.ELD!`ICE . Ohio USA C7arrled Elizabeth Schneider ,
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Florida St .Lucie ,k Ft • Pierce 1015 Sunrise Blvd .
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,s J. Lee Clark Estey Y. Secrest
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Elizabeth Schneide ,n 1015 Sunrise Blvd• Ft.Pierce Fl. 33450
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~Y Health pepaA-
tglstrars r,boord on file in the St. facie County
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int et foA Piero, Florida. + ~ ,
(yy~rninQ: Not vsGd unless raised reel of the St. Lucie f... ~ • •
t Yealth Department Ts affixed.) • ~ ~ -
coun~ SU'7339 ~ .
N• p. MILIER, M. O. -
t - County Health ONicer 6 local R,egistra'
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local ReotN..E.
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