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CERTIFICATION OF VITAL RECORD
17 T:/1930
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1980 .047,89/1999
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12/13/1999
1 ••!t p1•Pt• 1 1 MM
Anthony Wolfe, M.D. 100 Casa St. on Luis Ott CA 93405
I bG Ii f S DATE ISSUEb. CSI
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it e xact reproductIonl fthe document'oHicially registered and placed
�tlI a of the SAN; LIJI BISPO pOW.�JTY CLERK RECORbER or
U document is a td abstract of the official record filed with the
as der.
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ANY ALTERATION OR ERASURE VOIDS THIS CERTIFICATE
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