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. _ , . • ~C ~ , i . p~lar~tion d! ~oeRialt~ and CItlsMSh~p ~ , ; . . ~I~~~ ~ ~ . , ~ ~ TAX ~SSESSOR. ~ . ~ TO THE STATE Mt~ GOUN1'Y . , , . . , ST. UJCIE GOUNTY. flOR10~?: _ ' , : . . i in fM StsN of Ha~ida 11+a~ 1~n+ fllitq thk d~Y ~ ~ This ls my.d~daation of Don+kll~ and Gti~mh P ; with Chap1K ZZ2. S~crio^ ~~.17. Nor1d+ Sta~' - ' ; in aonto~Mihl ~ ' ~O • i was f~~1? • ~'~+~^t of (Stat~ . QGb) . . ~ 8 EsstBrl - HoMr~wr 1 haw d+ano!~d ^~Y d~+i~;1i i snd 1 nsid~d at ~ ~ (SK«[t and NumbK) ~ ~ ~ ~ - - . to a~d am and Mw 6Nn a bon~ Nd~ nsW~M of tht Stat~ of Fbrids dno~ 1941 d1d D~d.e Bi~ ~ ~ • : da~sar! - 19~-~ ~d 1 e~id~ at ~e,,,t s~d Numl~ f.~ lORT ~1l~, ~ LilC~ ~OUN~' ~A ` ' b w b~ tikert u my deduatio~ of dtizsnship. ach?~I Ipat ~aidana a~+d da^~~' in /1~ Sts~ o~f Aorids• _ and tfih stat~+t , pnsert h~n any P~^°~'t fsets, sud+ a afe af prop~tY or busin~ss. or rsti~qul~x++e^t ~ M"~°'Yn'~^~ ~ ~1P,~I i: at forrnK domidN, n~raval of family to new domkite, purd~se 1~ F~ter3n~C T.layd Jatiior Shsrrill in 2~d ~rads . ' . . . • ~ M~ : . . . ~ _ .t~ IT ~0`- . ;~~"~+~aSO ~ - . y~;~`'~.`• r '~;!r ~ ~ ~ ~ . ~ FllEO AI~10 RECO . - . ~ . ~ ~ - . ~tDEO , ~r • ~ • - . ' ~-~~~-R~oo~d..800K 'M~ ~ : v' ,r;~::.• - ~ . _ 1964 FEB -3 9: 43 - '•ti ' . ~ _ ~~..~v~ E ~0•+ ~ - R~6ER POfTRAS, CIERK ~•~.,..,...,..r~'. ~ ST. IUCiE COUNIY. FLORIDA . . ~S ~ . • ~ cwnply witfi ~~RTH~ CER'T1FY thst I will ail v11wr req~+lranenn af s le~al roskient of thk State. , ' FY Mwt 1 hsve nc inteMion to rotum to m~? fon~ domidi~. snd 1 inte~d io ~in in fOR? 1 FURTHER CERTi - ~ ~p_UMY, flOR1~A. Pern~^°"NY• ~ ' PtE~CE' ~`11 . . l i ~ ..,,,1•~ r~ ~ ~ ' • • ~ • .,•x ~ '~::~~i . - {Na'n~) - I . • ~ •L ~ It , i • ' 1~ ~ ~ . ~ + S . . t~ • ~ • ! 1 ~ . iNV• ~ Y~/Mi~ ww'~ ~ t``• `'~~,r • (/bd~ . : ~ t ~ _ • • - ; . . = . 3 ~ ~ _ l~dbraas~r t9..~. ~ g~rorn to and subsc~ib~d b~o~t n+~ thb ROOlt ~ Notary P~Ik ~ ~ D;~, . N1y Gomn~i~sbn ~cpi~s . ; , _ ~ ~K . ~ e~.~54 ~ . ~ . . ~ c~ arari, carr,, .ed d~«+~ Yoc A~..«er~ _ i - (TeM~~~~~~.~ _ . _ . . . . . z..