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<br />' ~~ CERTIFIED COPY OF VITAL RECORD - a
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<br />,'moo ? j! STATE OF NE!d PIEXICO HEALTH SERVICES DIVISION ~ r
<br />- ~ ~ it HEALTH AND ENVIRON:IENT DEPART:IENT SANT,1 FE COUNTY '-=
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<br />- ~~ This is a true and exact reproduction of the original document officially
<br />' ~ ^;~~' ~ registered and placed on file i, the Vital Records Section of the Health ~ ?-
<br />.~ ~ i! and Environment Department in Santa Fe, Neta :[exico and issued under the ,.
<br />- ~ ;~ authority of the State Registrar of Vital Statistics.
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<br />- ~ _~ DATE 1SSL'cD: 22 JULY 198fi ~RR CE D. C`iL~ L i -
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<br />•r. ~ ~ iii State Registrar E,.
<br />"'-`~ - COJNTER - Vital Statistics Buceau
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