HomeMy WebLinkAbout10-14-10 _ _
HI05.905 RHV.(3/09)
This is to certify that this is a true copy of the record which is on file in the Pennsylvania Department of Health, in accordance with
the Vital Statistics Law of 1953, as amended.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Linda11A. '~Caniglia
State ~epistrar _ .
5549642
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