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CHIE c i /41 Y <br /> oF �HESr� TF JUN 8 2011 <br /> av <br /> FLORIDA , ORIDA DFPARIh4M OF <br /> Y THIS DOCUMENT IS PRINTED OR PHOTOCOPIED ON SECURITY PAPER WITH A WATERMARK OF THE GREAT TNT7�.�� AL ,T <br /> a. _ WARNING' SEAL OF THE STATE OF FLORIDA. DO NOT ACCEPT WITHOUT VERIFYING THE PRESENCE OF THE WATERMARK. 11L j <br /> • ,✓P` <br /> ='°" >" o THE DOCUMENT FACE CONTAINS A MULTI-COLORED BACKGROUND AND GOLD EMBOSSED -SEAL THE _BACK <br /> CONTAINS SPECIAL LINES WITH EXT T AND SEALS IN THERMOCHROMIC INK. - <br /> DH FORM 1947 (08104) ...A.:\ <br /> : , 3 7 1 8 8 4 0 1 CE RTIFICATION OF VITAL RECORD .; l <br /> * 3 7 7 8 8 4 0 1* <br /> • <br /> • <br /> - <br /> c 1 <br />