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O I ' f - 2~.~i . ~'O PlCL f\Z h' . ec oration 0 OOmtciTe and CUllens .iO . ,S 1, lVCi[ C2UHTi. fLA, ~_ ....._.. - tJ ~Il<l~ TO Hi!: srJ\H. A.ND COUNTY TAX A~~, At.Lucie __--- COUNTY, flOli!ll>A 1 ha it my (krcl~r altol1 of Oomioie .t"d (;lilen\hlp in the ~t~le QI f lor,ds Ihtt I Am I.lir.y th., day In t>((QH.lI"'''. end 1(\ wn!O{HlIty With Chapte, 221. 5e<1.0rt 1221" F IOfida SIaN'.'. I Will form~Hly & It><J.~1 rlHident of kon~, Island, ~ ((...yi 1;. . York C\t...l and I Uilldcd al _ I.? - .5 I) }J (nill C ~ t re ~ t. .. ---- .- ~_ .....-:1 ~) 11<).........fl. I h...", ;:h51~ my do<tll(de to .nd 4-,,' llfld h3\i~ bMtn II tx:mlt Ild(l r.\,donl of 1M State 01 flort<..ia "r~d 2 7 tJl day of lark Z.:tlrch_.....-....---......._..19 61,andirlt11d1t"I. Lnkc'r: )Od lit. .2 _ Box. 2'/61.- ~...t ....ci i<+~~) Fort Pierce ~) t .1.~~c 1 c: · CO\lnly, f!ofld~, ----------~--------------------- -----------------------------------. (en-.i lIr1d lh,s lllllcment jl 10 be ,,,k~n al my dedll/<\liOO of ci!tHtnshlp, /l(twal legal r~'ldel1(e ar,d domic;!e in !hl!! 5t.,le of Florida (k...~" ~l. t.,y f'C".....", 10<" ..,..<(10. .. ..~ c;1 rc'Q(>OJ'f c<' t;..'..~. ~" ,.'~" ...~ <.>! ~~-i"'cl"'''''' .f tot..- do-...;.cj~. ,......,...1 01 10-....'1, to __ do-......;.;,~, ;>V'<~ 01 ~~. .~ l ~stab:i5h~n~ r~5idc~cy .1.02988 t,.:. ~o l~tn p;r,-~n:-o. L..~.. i,;"'t I'.L\J'.. i l!. _ : ',03 :;,:': .. . , ..,' ..',...... '\./ ..~. ~ ,.' ". '.') " .~ . :~.:f ... .' :..,~.~..- ~" . . Jr.':'." . ,.' '. .....- :..y .:) L .. _" -: ~ : .Ii; . ~ ~ \', -..." :' ... ~ . $.... ,".. .. .0 d-- ", l~ !. '- ..f';'->-' \-' .. r..., " '\... (. ,~ .. . n '... .1)\ .... ') "~~ .i';o~''', .-' 1~:J)ffid.l Ni.4n! r-~'~ I":~.j r-""" ~ ~ ,-,k' ..... i"~ ........ . t' I "J ; t_, ~. t_.~ rOGEr', POlr::.':, ,~r s;. LU(f: ~~'..'\; I. ~ . '; .rt . -1'!. C.,. ....1..-11.(;. I fURTHER CU<lIFY !h~1 I will re-\J'~l!.lr 6' my !(X41 addt!!H .....h(ln Ih~ /e{li~tl~tlon bOOkS re.open. llnd (omply with llll Qlh@f rt;'qu;rernent~ of a Ie<JIl\ (<,s,dolit of 1\-." 5illl~ I FURTHf.R CERTIFY th~1 I hh'8 no il'l!enl:on 10 return 10 my fOHN!( domi(ile. ~rKi ,r;lend!<) remaIn ;/) l'ort Pierce \(iI-,i St.. Lucie Count.,., fiord! petrntn~ntlf x J;l.Lt4':l";):' . U i L .j c,i ,j-- T.' ,R ED .t....,' i 1 C.' K p' - Iti W~\ T .._ \" ~' t\ :~:.]l,n 1\ j- .,,;It''~,,~!~, -i..,A:~.w:} . .. 'V,":": lQot. ~,1 .. '. ~ "rebru"r'J' ,I", ~.Q-\.i~" ~>. '. U J i \) :'",~ -l' t".~~~ '. (\ HOGEH P01THAS .- t..J: ~~'~~< ~, "-', ,> RQ{1ERP{)!T~AS,ClERr.:(IRCUITCOUPT ;t.:.~....~,. '.,~: J,~ ': (/ /J ...- ,.) I . '......- : - : ./-/ h./) ~ It -;f-L ~,?"r."~- aT /{...a.... -.(:...- f4.)O<>t.-A~~'_:J . D.C. \,....~..,Ml _<;c:..r;JIbi~'oo .~,'}.,e' t;. ....... '" - (I;'" .~~ 100 ~_ ~" ~ f<~ ..,.' c~fJ t;~{~ ~<MI ~ ..... h~ 6~) 19 !)W()l n 10 .!nd \ub~':flb<<J b<lfo(~ n,1l lhlt No! ,'HY Pvbli( ~l ._;:0'. If ~'.iii:,