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T_ ! ~ ..r_ ~i ~ Z , , ~ ; ; ~ . ~ . ~al~rstio~ o~ Oort~iail~ and CitlsMShip ; : . . . - _ - . ! ' - ~TO T1~ bTATE l1N~ COUNTIr TAX /15S~S~OR. . . r ~L~~,~~.~ ~ ~ i ; ' ~T. lt~C1E COtJldflf• RORIDJ~ . . ~ . ~ ' ~ . ; . . ~ Thit h m~? d~dKation ot Oomidl~ a~d Q11~ahip in th~ Stat~ of Hotida tiwt 1 im filino N~b d~y M aooordana a~d ~ . . _ ' ~ i~ oontamiq wHh Cfi~ 2~2~ S~ction Z2Z.lT. llorid~ Statul~. ~ . ; . , . . , 1 wa~ fio~n~.r1y . I.qa1 rMkl~m vf S~t .A11'1"Ol1IA . 1~ . K~h) ' . ~ ~ • • • 14~ P"lsir D~. . ~ ~ r and ! hsid~d at . .1~lorv~v+r t h~w ~+wq~d m~? danWl~ ~ . (Stra~t a~d Numl~I . . • 4 . . . ~ . . • ' ' ~ •-b and Mt1 and Iyv~ bN~ a bon~ Hd~ hiidMtt Of 1h~ StaN Of fkxid~ •iino~ ~Y ~ ~ i - Oot. - _ . ~ t9~ •nd ~ ratd. at 310 8. 31st St. ~ 1~Stn~t and Nwnb~ . F f ' ~ ~ ~ ~ ~ ~ • ~ • ~ l if1~ 1~ :h1M11Mff ~ 1'p ~ hkM! ~ Illy t~C~K~t10f1 O~ t~?~Mqfl~~ aCItN~ ~ fM~MO~ i~ d0111~~ ~fl 1~N ~N Of HOf~i. , ~ : ~ ~ ~(~fqKf ~INr 11fy ~ff~flNit flC1i~ itlCfi N ii~! ~ pf~O~f~ a~Y~IN~ Or f~~flC~N~i~Mf1~fM Of MII~Oylll~fk ~ H~OfQIK ~~Offi~N~ f~M~IOV~ O~ fN~~ 10 filW dOffl~N~ p11('C~1aN O~ ~fO1MN~ ~IC.~ Y . ~ ' . ~ - t : ` • FILIIK3 F~ H0~'1'SAD PUftP08~ . ; ~ . . ; . . S . . . ' • . . . . ~ . . . . ~ ` • . . _ . ~ ' i % ' . - ' . , ~ ~i~~~~~ . , . . , _ . ~ 1 ~~~jl 't" • E~ : ~ ~6 . - . ; ~ BOOK . s•~ ~s•~~ ~ ~ _ ~ • - . ~ : • . ~ 196~ MAR 12 ~'I ~0'' 39 . _ - . . I ~ ; %ss=~-- . ROGER ~01T~R~ flOR D11 . i . t ~ E. ~v ~ St. CtlCIE C~U _ 1 ~ ~ . ~ ~ ; I FURTIiHt C~ITIFY t1~t 1 wtll n~ at nry loai addre:s wt~ t1N npbNa~ion books nopN4 and ~ompiy whh - ~ - all o11wr nqWnrrMnb of ~ Ipal nsid~nt af th~ Stat~. - r, . . . ' I fURT1~R CERTiFY th~t 1 haw ra iMention b rNurn b+rry forn~ domidi~, and i int~r~d b ~wn~i~ M FOICT ; . . PIERCE, SJ1{NT LUClE OOt1NTY, f~ORID/~. Perman~nMY• . s ± , _,~,ri1t~.~~ ~ ~.IUMN`~ . p~.n+~l _ . - - - ' f' ~,I~•~O . • ~ . ~ ~ _ . , ~ . _ - . • ~ . ~ . ~ ~ •j ~ ' ~ t ~y . • ~ ~ • c s • (~a i { ; . ~ ' • . - ~ r~ . ' ~ . ~ - 12th ~roh ~ ~ ~ l`~ ~ EL~p~to ~nd ~vb~d brfoe~t m~ NAs ~ day of - 19~ - p ~ ~ t ~ ~ ~ , . t ~ ~MK G011~~ _ - tro~ta~y Pub~k - f ~ ` - - ~ ; ~ : D~C. - M~r Commiaia+ ~cpir~ - f . . . , ,R ~ ~ r - . ~ ~ ~ ~ ~ . . ~ . ~ ~ ~ ~ T~ f ~ 1 -