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:?~~ti~~I~ rn i E uF F ~~~:~~n . . DEPARTMENT OF R~ ~~ ~ Meatth & R~habilitoti~r~ Sertiices DISTRICT NINE ~ PA~M BEACH COUNTY DEPARTti1ENT c?f_ ( 1 HEREBY CERTIfY THIS TO ~E A TRUE COPY PUBLIC HEALTH OF THE LACA~ REGISTFiAR'S RECOKD 901 EVERNIA ST, Warnin~ , (Not ~alid unless the raised A L sea~ of t--e Bureiu ot Vital Siatistlcs is aftixed.) ~YEST' PALM Bf.ACN~ FL 33401 ~~- ~ _~~~ ~a,~,~...~ C1E--UTY ~?EGIS r<<4.~ ~'I'AL r~E~'J~.~ _ _ , i / _ r . ~~t . ~ ' ` ~ ~ ~ . . ~ ~ ,~ ~. l::n ~.r- - r^ - •nn -::r r--••y, . ,_:. ; 4 SJ . , s. r i~, i i ~ir. 1 i ~ - ~ .~ 7 • • • .T~ • ~` t-. ' " O • / ~~ ~ ~ f ! ii •• I i rs J ~ ) i I ~ ~ ~~i "' .. ; ~, ~ j - ,~ .• ~ ,. -~ ~ ... '~ :--~•~ . . . . " ~ • A' ,~~# ~F -q !.' " ~ i~:4'.s51[S[ / I ` • ~ . _ , i i • r ~ ~ is l ~ L . y I" f'd"~'4"~"4 ~..-• / ' ~. ~ ~i:. ~ " . - i , ~ o.ro,. ~ .:, d .•Y~= ~itia~a ~i - ^ e~ ~ ~iQ . . ~f . . ~ ~ . . . ... . • ~.- r -,~~~_ `.~,~- f '• - ' ~ ~-''~,~~'~~ ~.~ ~ - -'~';7.~ ~s . ~ • ~ • -~ ~ _ . ~ ~ ~~'! ~~% }1 ~__i . +' '' - ; `.:.34F~ ~~~~~~!~f3~