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~b~t' 37 MCf~1sn {).e-c4uatiuH 'If Donucile and Citizenahip ,)1. lUCit (;~l!NfT. flA, ..- TO THE s"t^"n: A~'1) COIJ1'<TV TAX AS8L~)H. 'IT l.tJel}; c.."OUNTY, n.QalDA: nH~ it my decwatk>n of lloOm1ctt.& an..\ CltlRtlllh.ll' In tM Stat. of ItlC>tHa lh.tt I M1 t;ilnJ Uili <:\ay' Ln ~Qf\)aU('Oi .~ 11\ c-Qr\!on:r.H)' _ilh Cha~ m. Se<;UQO w..n, )i<'\o~ St.Qtu~ I wu fucmedy . ~a.\ ~1-ttnt of ___1:lt.._CarJntll________. (CityJ " __. C.uU.n..___~______ S\.~ elld I ruki.d lit ._.__1..5l--S.La..o..pi..Dg-~t_JJriva.______. 1{(T>\~.',t'r. J ha~.. ("Ml'igW my dorr'!Clk> (StrW\ And Numbul Co ....'\11 !Un U\d h&... a:..eu a bone rIcH rnk~nt 01\111 State of .'\orkle .In<-e __~.llth______.___._ d.t-y of __------l.~'j HL_6~ l.."\J I rn;d~ at ___.?Q9_lLQi~h.j:'t~n\l~ (Stl-.t u:d Nl.lmho:rl /liver Pnck. Fort f'it~rcc Fort PiUN. S~!t!t Lude (.wnty, Yl'Jr-!1--. ....d lnll ll.te>:T\fnl I' to b!! liik!'n u my dxhlflltiOfl of dtll"'fUh!l'. lI.ctual il']fal r...i'~~n<:e AI) I dOillk'iHl In tt-\~ Stat.. ur F1{lf},ja !ln~H hue any pt!rtln~n\ h,-t;. ,..:d, IU HI., or ptc,perty or It.l.Jln.H.l, or r~l1nquiL'u-(\~n\ or ~nploym~t al form~l dl)lnlClleo. i'Cfl'iO'.al of f;iimlJ)' to t>'!W doml :llt pu,ch.u", of h01T'.~. 4l'tc I ;':st(:bligh residency for hOiTJElstOHd pUr},o!les. JOSH.llt filED AND RECQROfD !NOHidaLRtumL BOOK 1962 fillY 28 PH 2: 48 ROGER POITRAS. CtUll( S T. l U C I [ CO U N TT. fl 0 RIO A .f) Q t 6Lv({( '\\. Ii, ., ,:.:~::.::":.,, ~'<~~:'~;;\ . \- \ - ~ , . , 1~",I~... l' /~, \. :~ ():'" ' , ,) '. . ') .../ ,. ; ') . .. " . I f'Unnll:.r. CE:lrrlf.Y il'JQ! I will r~li4tf'r al my 10<:: 81 Ilddr~n when Iiii' ~~'Sllll\i'm b.o)(.$ rH~'t:'I. and ('ornpiy ....Hr. ul olh"r r~lulr.,m~ntll of . i.,31 r~t.!df"nt (It t!ill St.at<> I ~l)nTHEF. C}:nTrFY VIal I hil'~ He> i::t~nl;on If> rtha;) to f!1) foriPer dQ:nlo!il'. (lut I II:!' ,'" to N;ni.il) In .'0"-\ I'IoV(", (~.J!:int l..i.Jel<l l.l:r..l.ntL FLrl..l:!. ;,("rmaf\('ntly, , . ...... .. .', ,j:" t\ " 1 ,.... \.) ., ,. ~~ll. ()A. .'~~L.__ (-....f7-:-~_.)LL~:L1-. _______ (:--1 a.fT1~ ) .:1 ~ FnmC65 E. Ougood (widow) ," ...... .~ .~ ~ I · . ~ : ...~ ... ..- ", " ! f> " '.\. -, .- .. . ,.. t... , .. , , .. .. -' " . I ^ddr..,;~ 1 .... ~;""'(>11'l I., Ii~ I...W.fll'".ed t-ifi,)t""t tn-i HIli ._..-2SW.--.....~_. hy cf ___.___.1~J_, _____h . li~.62.._ :1)' ._ I:()crn POITRAS (LUU~ UW"l:rr CO':/;1' I..tJn ..;..,.~ < ~(-~ . ~ I J.-"L-.----.-t1~v- .. f -.----- ~Iy CCl'Io.miulon ('lpilll'l _.._._. NotlH)' P\Julle _ ___ DC ___________..u~. _""_ ____ ._______________. ..~__ _.____~.~ _._~., _ __ _ _._. __ _______ ____ ___ __.__-_ __ _ ______..__ ____ ~ __._~ (To bo <<:U~.~ 1<0 "~ka~ "na !If"tt1fU! tUe-l ....ltll Cl~ C~ C-"".?t.. .w di.Splk-.t.s -ith h. ~)