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I hereby certify this to be a Lrue and correct
cony of the local Registrar's record on file in
the T~artln County health Department in. Stuart,
Florida.
(k-arning: t!ot valid unless raised seal of the
Martin County Health Department is affixed.)
1
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Archie NcCaitister, M.D. ,-.
County Hzalth Officer b local Registrar ~.
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