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- , - - ~ :r • . ~ ~ ' DeCl~u'ation o~! OOrnlCll~ aM~ Citis~nship . ~~T'O THE STATE 11t~ C~OUNTY TAX ASSES.SOR, , • ~ . ST. tUqE OOtNdTY.~ f~~ORIDAs . - - _ _ : ~ This b my d~dantbn of Oomidt~ u~d pN~n~h1p in th~ St~ti of HorWt. that 1 ar+n flUnQ th4 day in aooarls~x~ and , in oonfomnUy with Ch~ptK ~?t, S~c~bn ~.17. Fio+rida Stat~u~a.. _ - • ,,~CWsr ~ 1 W~ ~RN~~~I ~ ~1 ~MkjN1f Of _ . ~ ~ Mld ~(M~~ ~f Sl~ MOWlM~f ~~N1/~ C~1N1~ M'y dOfl'1{dN (~N~ ~ NN11f~~ . 1 ~ ~ . ~O N1d alll afld ~1iV~ bNfl a bOfla f~! fN~N11 Of 1~1! ~1~ O~ F~Of~ i~fi0i di~/ p~ ~ ~9~y «?a i ...w..~ ~ 6 .,t~C ~ ~ ~ 1~ORT i~A1tiT LNCI! COUNTY, l~LiORqA and this stahnwnt b to b~ tak~n as my dedaation of dtiz~nship, actwl ipal r~std~na and donadt~ in th~ StNf of Horid~. . prnKt htn an~? pKtinsm fach, wdt a sal~ of pnop~rly ar b~a1~, a nlinqui:lw~wnt of ~r~lo~in+~nt , ~t torn+K domkite, hrraval of f~mily b n~w domicilf, pundu~ af horrie. Nc.) . ~ , . - ~ /s,~ 4 ~ - RECORpEp ~ . . . - . a ; B8~ . 1964 -2 A~! ~ 43 ROGER POITRAS, a~ ~ _ ~ ~y1T't~ - St. LUCIE CBUNTr, FL~R~BA ` r r. • z s ~ : , i ' • - . . ~ . ~ . . . t r' . /iv . _ .i~ ~ ~ - ,~~~~E•'~p - ~ FuRTHBt t~RnF1r th~t ~ vwi~ aomplr wt+h aN olher nquir~msnts of • 1~1 ~resid~nt of this Stah. ~ . i fURTHER CERTIFY that 1 hav~e no imention To ntum t~ m~r forrr~ domi~l~. ~nd 1 iM~nd to nmdn i~ FORT : - PIERC~ SJ11NT UJCIE COU1VT1/, f~ORIDA, Perrrwnantly • ) ~ ~ - (~1ddt~s) • ~ ~ S~worn b~~e~d wb~uib~d b~fa+~ er~ M+is y day of 19`° ~ „ > , ~Y,. - - ~ ~ ~~•~L'~~/ ~t „ - • R~~ " ~ ~ • . ~ ~ ; a,'~ ~ • j + NOfMy P11~~C ~Z~ . t ~ • • ~ . ~ ~ . ~ ~ I . , i ~ . • i'. j~ ~ (;pflMil~i{~011 ~(N , . / ' ~ ; - ~ ~ 8~ ?.~9. ~ Q. w.~o.a~~ i~ d~Nw. .~i «yM~l wiN~ a«k an+rr c.~ ,r~i ~w "rrri T.a~ A~w.r..J i - _ _ ~r_._ _ _ - - -