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HomeMy WebLinkAbout1970 S11~~8 '~~ ~`~ ~ 5 ~ . LUUtS COU~lTY : ~ ~EPARTMENT OF COhiMUNITY HEALTH AN~ MEDICA~ CARE . . ' ~ .. HuI SO. Bf2fl(LVl'~-Kj ~Iv(}. -~~~~~~ ~~ CLAYTC " { ~ R ' ~ _ ::~ N, .1!SSQURI E3105 ~- ~ ; (Do not accept r! re:~hnt;:y. ~~;ter,i ni ~I sc•~ I ~~T r ` ~'~. ~~ 1~~~ ~ ~! ~ . ~ , p e.a 0 },-. 7~iE ~EPR~~DUCTlON OF ,~ . ~~~r be ,4 THIS UQCU,.,ENT IS~.~ ~t~~~.,~ ~yy . ~j ~ , ~ (Chap. 193.3~;U RS'.'o t~.369> : ~; ; ~i t.'. •~!s! ~ L 1 ~ ~ ' '1~ ~~.\ ~ . . ~. ~i{I ,. ~ j ~ ~ ~~~ I NEREBY CERTIFY tt,,~± t+~~s ~s an ex ~ct rr;~r;~~i~,cti • j~ t~f~at9(oxt~1~;~, ! !~ Vff50~1 f7Jt71.~C~ ~~ rr..nt .1S 1< <~(1 •. dt); ~ . jr; ~:.~ ,r~N I)p~Rr l ~ , ~' r ' ~ :~ , . s l:fN Q},:~l pl J / . of Vttei Hrt~~ '. af ±i,N p~c s,~n ~~r ~i..,~•!~ ,f .;~St~ ~ kid Registrar o! V~tal S;.~~n:;~s a~~c1 i'~Y ~; - ~: • t" ~ S A ~ ~;~~Y~ ~~`.- -, . ~ . ~ ~ • t. l u . ~ ~ -~~~ ~ ? . ~. ~ y Comrtsun~t iiedlth ~nd :;ed+ 3i ' •.•~` •• ' . .~s' V c (:.,re, ..;~s :13ir Uf . ~~~. .;1. ,~. • ~ -'. . /~ ~ ~~ ~~~w~N~~~A ~J .~+ ~ ~ C~ `~'///f'.:.~s~+r~/'•-~ f'' ' ~ ~ ~• ~'C `, ~p[~t. , .:3 • -' / • / I ~; • •Z...•~= L~. ti l >~ John C. ~.?urphy, '.1 0.:-Re,;strj~ ~/ Vrr~~! Star;stres ~ ~ S, and Assoc~3te D~rr~r-to~ O/ Pr~r;~~~y Nr3i,h Care ~~ ~ate _ ~~~ _~ ~ ~ -- pa~ ~ p /\ i la ~ H ~:d ' i+-i.-i- 4 ..„~ >~ '-. _"-.. . ,~ -;.~ - •~- «,~. -~- _;:,,,,,, ...,1, ~~ ~ ~. . , i _ ' - , -#' : ~t . ?I~ + _,:'~.^aur, , ~v. - .n..c..-_~ a. .s.:isr~,~c._~^~.~ilai~ -- .I~ ~7'3~~~-. ^1u~s •~ ~ ~ r . ' . •.ia-_.A-- - .c.-...». ._• •A..a-a:w• •-... _ ..~: ~t . .+.~:R~ ?':.saC14'V +~[~~?w -r• - ~ . . ~E~ Oi fvi A~ N ' '~'~ ~ i+~'bm.~~ - C~ititFd?' , a. / s ~ry~ts~~1TK`Ki __~~~_. . "'_" I~+w~1~ K~]~(~ra~~ ]TCR:~?l~ ~O ~`'x~/ """ '_ M:rt'-af~M ! 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