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0175
T~~ TWA STASE ,~lwC CC'31SN'TY TA)L ~~SSOit, ~y~ } ~' - ` C~~`F~ ''~f,~ t'itia is my dACiarac- of l~CSmiriie arN3 ~itrasruchip ir+ the 5aat® of Fk>rida That ! am filirr~ this ~iay in aa~ordars~, and in cxanfea~mlty w+td'ss Cige~ter Z2~, Sectaon 21'2. t 3, ~eorida 5tats;te~. ! wsx formaerdy a delta! resida~t of ~Ad~.BTai~x+4~f~ . _ .... _ _ _ . _ .. _ _ _~x'li'~.id~Ti,~ arxi !resided at _ _.. _ . ~._~ ~ ~. ~~~~~ 3~;t~ , ~!li_~ s..- -- . _ ._ . _ . l~kowsw-r, !have thars~d my domicala fi~..rt a-d tvwhse.) t~, artd am arxi have d~lrn a f~r~ fido resident of tine State of Florida 5inee _ ~..1.'f:.~t _.. _ . _ ._... _ _ _ _ ~ dsy of --_-- ..._ . 3t~~.Y __ . _ .. .. _ ... _ , t~..~~._, a--d ! reside at ... 1L~. ~-~~..~.~~,.~'art_~ta'~a~c~~ t .~ .._~QI'?K .~'i.~~'C~_.._._. _ -____._____ ___-----, ______.~~~~:~,~C_'~._!=_ _- --_..__. _.__ C:our,ty, Plordda, tcterl and this statornant is to br taken as my declaration of citlxenship, arras! le~,al residenc+s ar.c9 domicile in fire State of Fiarida. phNrt brra au~y ~r9lrsava tsetf, s-xA ar w!- sf prrepirt3r or b~MBhlM. or re~nqu~eliMr~pH of a~r~playe~r+s of #armsr danieffe, ,whore! a/ tinnily mo hwa d~oh~icise. d toh+o, oms.t ~ri~~a~iaag G~~~ ~ Bl~.ine Y~nd~arg~~t:: i~ tie lit gx~~de ,,,R,._.~.~ .~, . °' ,lr,tali-~~~, , -;~- . `~-~.. lid _ L~~r:~~OQK 5~,~,~ ~ C~d~ ~~ ,~'. ~' d~i9dp'tl~ C''~t t !wilt rir~ter a4 rn~ dar~3 adder yr tt~ ~e~i~t€°atic l.ks r, a~ co:rsaly w<th a4': ryti~c rax~ui ~ e i : rtf t#wis "`spate. ! 6''.1R'~1~~ fii~Y ghat d :have r-o 4s~T'-~tdoar M risfiis~n to rtry farmer dc~rnsirttis, anc! ! :r;tend tss remain in _ .. _.. _.._ _ 4~ ~k..9 ~$ 1 fit.°•.,.d .S .. :~ w t~ i»6 i yyy~ ~' Lt. vM p ~ F' i Cdr .~.Y ! .F". n .. '~ ~ y ~ n F_ ~ ~ %,± ~.f A ,, A ~~ ' .iY K ..~..'p'J '.~'.+S.W.'~t-+l.Cn?.. ....~..."a-."fin ]-m~"4.e ~Aw~KS.e"aL.+~i .., _ ~+~~ ~ +q g9 ~h! ~~roy ~ -. ~.... ... ,.._........._ ... ,r ... ._. ..._ ,.... ,