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~ . .{r r •ti!. ~ . _ ..r~1 ~ ~~.i'.~.:'i- r!..~N~rl M ~ ~.r ~ ~ S t .'^_r. v~~ J • -.~.~W~ ~ . ~ ...'~.'f_..~,~~.~ ' • ~ ~ .,w • ' ~ . _ . , • ~ ~ taratic~n ot Don~lalle~ ahd Citisenshlp ,1'~3~5 . oec . TO THE STATE AND C~OUNTY TAX ~?SSESSOR. ~ . S?. WC1E COUNTY. FIORI~I~ . This b my d~duition of Oanldl~ and Gti~ahip In th~ St~t~ of Norida thN 1 ai+n Hitrq M~{t da~? M aooo~dana ~d in oo~formN~? with dwpt~t ~24, S~ction ZZ2.17, Horida Sta/uNa. TOhDtLOr1II • PAIIa 1 was formKly • Ipal nsid~nt af (Sta1rl tC~N) • se+d 1 h.td.d •t 1801 ]~egg ' Noyww. l h~w d+~~w!e! n~? dom~dM . (Stra~t and NwnbK) . . . b~nd s~.~ Nw ~aw b~n a bona Nd~ raW~nt of th~ St~t~ of florida ~ina ~°'f April ,~9 ds •nd i~w. N Sls aran+~Q~ Street : . (StraN ~~d tdumb~ , l~ORT MERC~, SAINT t1~C1! ~011NTY• RARIDA _ - and this statement b to b~ taken ss my ded~ntio~ of dNn~nsl+ip, ach+al Ipai r~sid~na ~nd domldi~ tn th~ St~t~ of HoHd~. pn~t h~n a~y pertin~nt fach, wch u sal~ of propsrty or binln~u, or nilnqul:h~rwnt af ~Iql~ . . at fonnK domkil~, nmov~l of family to ~aw domkile, purdu~ of hoR~. Nc~ , t;, - - . ipP3,~ing !or homestsad -~]r~- = ~ = , 1 ' ~~'~;~,t ~ 't•-7-~ J' 1 ~ . . . y. ~ ~ ~ ? 7 i ~zti•:_~.. • . . , ~ ~ j , ir~,~ ••.r.~ : ri•• H~- , i • • - ~.r : ; y ~ ~ ~ : t "t ~ ' . . f~:j~~ ~.:.~4~ ~ ~ COROED ~ - - -:'1~ `*'zr'. L- • i: • r t : ~ ~,~~p . . . ~.r:.-`_°~ : ~ M~fl~~tin'o7 ru~O~K ; , ~ e t . _ ~ : , c, : . = . I{~. ~ ~ ~.i. . : ' ' . . . ~ : 'r~ + ! ` . , ' 7 ~ ~ • : ~ ~ ~ ~ 1964 Jt~J I 5 A~'t 10: 49 . - ? , : t ~ - . -~~;s~ . •t:. - . . ~ . _ . ~c;E'~a • : ~ . ROGER POITRAS.a~r~c ~ . ~ ~ ~ . - . St. LUCIE COUyTY. fIORIDd •'~'t=ii: `'-L ° ' . • - - - ~ . . _ j~ • ~ . - . i. ' - ' . 1 ~ . ~ r I FURTHER CFJI?iP~ N~at t wlll tpbtK at m~? local addraa wh~n Nw nplstration books ~~opsn. and aomplY wHh ~ all o1hK hquinm~nfs of ~ I~pal ntidM+t of this StaM. ~ ; , 1 FURTHER CERTIFY 1h~t 1 havt no iMention to ntum b nq? form~r~danWl~, and I int~nd /o nen~in in FORT PIERC~, S/UNT WCIE COUNTY, FWRIO/?. pKmane~dY• - ~ . • Em~~tt ~ e~'~3.er . . /1~,~,, /h c`~ _ . - ~ Althe~ Y. - - ~ ~ s~w~orn a«+d wti.orib~d b.fo~. m. thi. _~t•h ~t- :d,y of Tanasr~ t9~ . . . . ~ ~ ~ • • s ' . ~ . . JF ~va' ~OIfRA~ ~ ' ~ ~ ' ' ~ . V , , ~ • qRCUR : . . Y~~~ . - _ :Publk r~n~ t ~ ~ ~ • t ~ ~ ~ .1 ~.:1~~~ • I ~ d~~~~ D:C. ? ` ~ ~ . . ' ~ ' ° - r ' J :'?~i'`;~• :~t,K'7~ . . . . r .i~. ~ . ~~Lr . (T~ b~ ~oc~ail~d iw dup~eaM Md ~IOiMI !~d wilh ~iMic~ Qra~1t..~to~wt: ~a~d dYp1~aN wMh Ta~t A~wKa . : . . - -~;1RK -r~~ Pt?GE' - _ _ - ._...Y_..._._.r_. . - -