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Home My WebLink About1173 " o.cta.GtIonof~ ~.~!:?1;~. TOYHlSTAlIAM)COUNlYTA)t~ '0.' " ': ~~ ~ ft. LlICXI COUim.~'~, ,,:.d .., ., · ;'\ ':, ." . > .,;z~ ~ . , .' ~ . . 1Nt II """""of~~'~_:.'~~',, .I~'~ ,_...'~.,.. tau.... Mdia_~~,~m___,_J'.,-" IU_. '," . . . ,..\. I wee fomwIy . '...... ""1" of_-.QQQ04..._L~~______;.~__..___..~~, -__.lWL_______~___. .' " ec-.. ' '.... ' end I ~ ..--,-~'~~~-~--..-,.."':~---------: .........1 hwectll(...,"'i..~ to end em ~ hIlYe ~ . bone fide NIWIftt of the ~ of ~ ...-1"1Q-.lI!--------------~ of _____n____.JUJZ__~n___________,.".:__61 and I ..... .. -.23n~QALJm1D________________ ___ -, .... .. ......., ___~-PI~CDt----;;:;--------------------" _~~._~~I__~----------------~~, FkNidI, ~, , , , .nd thia at*"*" Is to be hMn . my ....,.tiDn of d........ ICfUII legal Nlldll1Cll .ftd ....... In the se... of AorIde. ,... ..... .., .......... .... ... . .. ., ......., . ....... . I. -1 'It ..., I ?' . n L I It .... ...... --- '" ...., .. ... ....... ...... .. -- ... ',> ... .P'.....-- ~o flEO ~ND REtQRtlf.O ftW~~A.A.OOOK .. \ 9 ~ \0: ~5 ~Q ~ ~ 'Tl\AS. ClU.K . RObE~ PcOOUKl1 flO~'Ol, Sl.lUC'" · ...... ,,;jJ: ."....'o~' ,,' ~ ~ v ~ ".. ..... .~.. .....~...... /....... ",- .;~' ~ ~~'-..'~" 1 .. ',.V/,\ ~f,..... "'J~" " ..-...., '~. " -",["f', .~., I' " .. "', ~':f' "... :' '" :'OJ ~..t. ~. .''':,1.1' .~. .~. :~ ~':'. \,.-=~...t4'~~-;:' = ... : :.~:-, ~.. ~'i'(/) i~~~~ . : ~ ',.tJ \1~.' i';;'""! ,':'~'i;~:-~:- , ." '.. .~ .~" .? ".... ,,' .. . ~.- ~'. 0'. 1-ln ft'" ..', ..:' " - . ..... I. .,~ ,. ~ -.. v......... "') ...... "'" .!. In')' .' .'"... '....",.. ....' I FURTHER CERTIfY ~ I will reglatw et my Ioc:.t eddre;M when the reglatr.tIon boob reopen, Md comply with "I other requirements Of . legel resIdent'of this Stete, I fURTHER CERTIFY thet I have no Intention to retUrn to my former domicile, ..-.d I Intend to rem.ln In______ "' . PIERCI ' ST. LUell . ,"_u I!I_.... __________.___ -..----- -------------_________ -. . :..__ _________________________~___ """"nty, nviiW. tcItyt --: ;;J,..~~,lM'f!~:_ , . ,\ I, . ~~. ,....,,, ,.... 't:' 0 ;~,;,. ,',', ,,",~ ...'.. I, Ii. ~ . ...'V ,"_ ". ')" " / ,-v."~-.) ~ "~" ~ l ',:,........-. ,..." ; ; -: ~... .'. ~j1 ~ ...: -l.:t... ~~. . , .: .. ~ .'" .. ~ ...... ~ : .. ~ .'!~.. \ . . C' ~ . .. . ~- . ...~ ;a '" '/ I _ ... ... ~ . ....._J."-'v.. ... : ~JR~1ft) Nt . , -fl~ ,." " , I!' \~" . "J \\~1 ~~_~___m -~~-~~----------------- , ' BOSI BECDI ~ ' ~ 19th ' , before me thla.. . ------- ., of -JULt---..---------------------, 19-6l--- ere -------------~~~---------------- ~y Cor.wn~ ~ ___________________________ III ..... ... ....... ... .... ... ,'" ;-. .. ',.,... ... '- ~ ' By ...00. ", PIIt... , . . ..~. "<__ . ~4. .__