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Prttidtnl Eutirtl of Health and hjt- Officio Jlecordcr. &?orm to A*d Subscribed btfort n< dti* ^-tr^" day of
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WAR 30 1992
I CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF A CERTIFICATE OR DOCUMENT REGISTERED WITH THE VITAL RECORDS REGISTRY OF THE STATE OF LOUISIANA, PURSUANT TO LSA ? R.S. 40:32, ET SEQ.