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This fs IDy deda:ftipt of D0 sud C~tlapsh~p is tbs Bt11te o[ >f'larWa that I e-m >~ tbb day in
sooosdsnoe, sad in oonioemity with Chapter ~. Se0ti0a P~.1T, l~lOrida $tatgtM.
I wY i0!lpee'~ a ~l resident of .
~ ~~) ~h/~) its
sad I rasiwied at_______ ~,i w.b~e) ~._.. .._.__...Hmrsar~, I Aah eh~ed my damioik
to end aan sad have base a bons llde resideat of the 3tats of Ffoeida •inoa_.__._ ~~....~__ _day at
Dee~bar ; 18~.EL1., sad I reside a 3 B~ _ each
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1~"t.Pi~rca~ ~ Si. ~~Q. w ~-Connt,~-, Fiortd..
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and this sbtement is to be taken ai my declarstiao of dthesiship, aatnal legal residenos aad dosnkile in
the State o! Florida. -
Invest ~ w Dot =~+. ~ as aab d~ fro ~y ~ Do~iaw. ae ~t 6[ aselorawat at
~osa~: doak~, swao~al at lady to ~ doasiW~. pas~w st MsR Mt.)
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Entering Roger Longenderfer_in Junior High School
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1014'72 h.,M',...„,.,...•: •- .
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~~ BOOK
1961 JAN -2 AM I :.:38
t .., - ROGER POITRAS. CLERK
tT. IUCIE COUNTY. FLORIO~ _
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I FURTIiER CERTIFY that I will register at my local address when the registration books reopen,
end comply with all other requirements of a legal resideat et this 8tste.
I FU$THEIi CER11~'Y that I have ao intentioa to return to my torme~r domicile, sad I intend to remain
m.-.-- ~t.~iern~ , 3t~.Luci~ Connty. Florida,
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dun and 3Aa Lin~4~ eh~Ft_Pierce~
y. ~ ~ (Adaewr)
l~P 1~orsdd~y~ .~ betoe+e ms thia..._2addsy o~i
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.COURT
D.Q.:
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