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D~ecial-~t~ ~•Dii~l Cibse~b~p . ~.
TO TH$ $TATS AND UOUH'I'Y TAY /lam.
S?. IlOIi m>~rri, 1~lAHiDA•
This is ayr dsoistratioa of Dossidis sad tFtlssahip iD the Bute os Florida that I sm 1!>ins this day in -
acoord"anos. aad in oartotmit,~ ~itb (~apLat 21~. 8eetia- 8~.17~ Plosids Btatat~s. '
I was tortoaeriy a k`al resident aI' ~~1~ $ -_----____.
• caa ~' rota.)
and I ~ai<led atQ~=lei `~ty'!l$: - - --_-. -----------_. However, I have ohaa~ed mI- domicile
- (~teeK asi xaa~Mc)
lA illd am and ri11Yf Qeeb a t~~ iiuft iioii ~. ~ Uia.w w raves....:..c.c------~r..~------------ -: ,F-. -
._.._ DNe~De! , 18.1dL, sad I reside ct s1` ~b ~ ~n St_ Ong 1 i i~_,~~rl~ -
_ tea.et .aa xo~.ef
~.,~ ~t F'~~~• ~~ ------S,ounb-. mss.
ccxtz~
and this atatememt is to be taken eu n~1- aeclaratian of dtissoship, actwl 1eQs1 rssideaoe and domidle in
the State o! FlarWa.
((Inert bra a~ p~stiaoat tbs. coati as gale ed ~ bwiw~. ae t ~ e~7~t ~
loser da~idlo. r~o~s1 a[ lasitf to ~ D~ d 1e~er eN.)
__. -
~0~~
~ p ANO RECORDED
' 800K
ira
-3 AM 10~ 09
JAN
.
1961
R06ER POITRAS, ~~`-~ A .
Sj. LUCIE CUUnt t. «"'"1^~
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•~~ is "•• :`~~ ~~
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I FURTIi"~: L'a'-?~Ti>~'Y that I wlll st ap beat address when the rvn books
and oo~aplp with all other regniretaeats d~t 1~1 r~idept a~ tMs Qtatt.
I FLTBTA>~ CS>l;TilrY that I lave ao fatnt~ian to rertt3es- tiQ B4T ioemer damidls. and I intend tD resosia
~ tor$ n.ro. ,,- {, , St. ~s~~ oota>~. Lt9~orid.,
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- , Ziilli~a olitasa~
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a~ee tee ti~da.._..~d~- ~
8woen to aad w _
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