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CERTIFIED COPY OF RECORD OF BIRTH
I,	Archie Lee Gray, M.D., State Registrar of Vital Statistics, hereby certify this to be a true and correct copy of the certificate of birth of the person named therein, the originc! being on file in this office.
Given at Jackson, Mississippi, over my signature and under the official seal of my office, this the
26th Day September* 1967


Adams, Charles S.T. 001
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