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. , - i . i • ' . ' ~ . acl~ttion o~ Qomiail~ and Citts~nship - ,.~.i~,1,55 ~ ~ i ~ . . ~ . ~ . ~ TO Tt~ STA'iE MIO COVNTY TAX IIS~SOR, . ~ ' ST WqE DOt1Nfl/; i~ORtQA~ ~ . j . . ~ ' Th4 is my d~daraHon af OaMdi~ ~d Qt~ M th~ StaN of Ho~ida that f an~ filinp thb dq in aoc~ord~na and ~h~~+ ~P~ S~io~ 2~2.17, ftortda St~tuta. . . . _ ' . • ~ ; ~ ~ w,~ ~r ~ ~ ~ Clevelsnd ~ Ohio ' . . • t~~ ~ ~ . ' • • f ' ~nd t~~d~d at 13415 3haker B1vd A~artment 8-C2 . • HowivK 1 h~w d+~rp~d n+~? domidl~- ~ . ~Stn~R and NtNr~?j . ~ ~ r ~ b ~nd am a~d haw b~ • ba~a fic~ nsid~nt of th~ Sttt~ of RorWa ~lna ~ ~he 1 r~t ~ ~ 19 ~ ~ ~ 1005 South llth Street - e~~~~ -~3-. n~id~ at . . ; tStt«R a~d Nwr~?I . , ~ ~ ~ !~'+~1l1~!!Y, ~ - ; ~ ~ and thh statemsnt h to 6~ tak~n as ney dedaration af dti~ship. actwl lpsl ndds~~a and daNdl~ In th~ Stat~ of Flaid~. i Amat h~n an~r pwtin~m fach, wd~ u~ af p~opKt~r or businas„ vr roti~quhlwn~nt of Mnpioyn~K , st t~r~ domldl~, ewrava! of famqy b M+iv domkil~, Punh~ of honw. M~ i . - - - , , : - . !_`t , ~ ~ to establieh legal~reaidence - ~ ;I ~ ~ . ~ ` 5~'~+ 'iY ~ ~ _ Y_~~~~~r~ Y ~ ~'-g~' • ~ , - _ i ~ ' + ~ ~My~-~"~ ' • . • OQ„ ; a;~ ; ~e~. ~?..;::.:d 't ; ~,tv,.tt.•i,~~~?. : ~ : i9b~ ~ ~ z ' AM la 35 s '~`i 4~ ~yti. .r. A ; ~.y r.-• <<,•. . . ROGER POITRAS. CIERK - ~ ; M ~ ; • i ~ . . - - . ~ ST. LOCIE COUNTY. f tOR10 A ~ , ~,1; - ~ ~ : . ~ , i ; • ;s'~:y~ _ . • . ~ i ~,~~+f,:..~i ~ ~ ~:t~ • ~ . _ . ~ J jY~ ~ ~tv `rj . - _ a~ > ' . '=L : ~i E .~.~t'` _ . . ~ . , . . - ~ - - . - : i+= . , . .r~:. s~ . i ~ . ~r .a~~ ~ . ' - . ~ - F? . . . ; - " . . ' . ~ I f ~t RJRTHER CEQ?tpY th~t 1 wilt n~ at nry loal addrra whrn th~ r~piqration books nop~n, and compl~r wifh ~ dl othsr requi~sn»nts of s i~i nsid~rrt of fhb Sht~. . - , ; , ~ 1 FURTHER CERTIFY th~t 1 hw~e no iMrMbn i~o nturn b rry fonn~ domidl~, and 1 Irrtrnd b nm~in in fORT' ~ PI~iCE, SAINT LlJC1E COUNTY, FIORIDI~, P~rmsrMmlY. ~ . , ~ • ~ ~ . . ~ . Mam.) J French Robinson ; ~ - ~ ~ 100 3outh llth 3treet F t Pierce, . ? ~ Florida ~ ! ' ,~vw'~ • 1 • . • ~ ' l~~~' N ' ~ - .~r -12th ~ , ; Sw~om a and a~d b.ton. ~s d;~, ~f Februar ` ~ l~~ ~ f?. , s.:. . ' ~ ~ j~ : A " r' jG ~ti~... , ~ ; -r • . • . l ; ~ - ~ - . :f~ ~ r; -J- .1~ 1 . ~ • ROOlR tq'1RAf ~ =:r = • . ~ CLERK-CpbCtm G01RT . Notsry Pubtk s ~ ~ ~ ~lds,~-"~;"~;u ` ~ Large . . • : i: t- ; : t. , k - ~ ~ . ~~:C. ' . ~s' ' r~ - ~ : O ~ j y = . ~ Nlr C01tIf111iii0fl ~trt ~i'~e:: 1 • . ~ ~ ''S,^',,,...~~~, x-,, , . ? . . . , .1_ t • ; ~ i • !:11V,~~~~~~ ~ ~ _ •,~.~u : ' Q. soo.aiN~ M d.piieal...~ ~r~i~l fN~d ~ailb t~.dc c~a~M C..ry a~d d.'tieal. w~ Ta~c A...M.~a ; ~ . ~ ~1' 5g ~ . . . . ~ .