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0309
_ - [ _ ~ ~ ~ y , ~ a . Dac1araWo~ ot Domia1i~ and Citis~~sh~p : ~ - ~ , ; ~ TO THE STATE MI~ COUNTY T/1X ASSESSOR, . 1~4Q1~ . ~ ~ ~ , • ~ s~. ~uc~~ caiNrr. aoR~o~ ~ : ; _ ~ ~ . , ~ . This is my d~da?ation of Oomkil~ a~d Citi~~uhip In thi Sta» af Florlda th~t 1 sm HUn~ thh day in aooordano~ and ; ; . . ' in contormth? wifh ChaptK 222, Sretbn 222.17. F1or1d~ Statuta. ' ~ ~ , . ~ 1 w~s form~rlr ~ Ipal ~id~+t of ffiaer Ra~,;., T.n~o.~,ari~ ----:.~x Y~ ' ~ ' (City) ' ~St~») . ~ 29 Hart Avenws ~ and I rosidsd at HowwK 1 have th~r~! m~i dqmkil~ ; ~ (Stri~t u+d Numb~r) _ - to and am ~~d hsw bNn ~ bo~a ftde resid~m of tl+~ Sh» of Fiorida ~r~cs 1 . day of J ~ ~ ~lT 63 - 1116 Bsaoh Court . 19__, and 1 tesid~ d ~ - (5tr~t and NumbK) . l~ORT M~C~ s11q~IT tAlG! COUNtY. ROR~A . ; and this sara~er~ h ro be tak~n as nry dedantton af dNnenship, adwf le~l ~idena a~d domidl~ M th~ Stat~ of Horida. , - . t . tin~t h~+a.~^Y Psrtin~M fads. wd~ a~ sal~ of properlr or-busin~s, or roiinquishmsnt of en+pfo'Yms~t ~ at forn~ domidl~, rernoval of fsntiily to nsw domkik. Punhass of hon'», s~tee.) . ~ , - ~ ' , , i . ~~ig . -Eetablishing reeideno~ ` ~ ~ ~ . F~.ED AHD RECO - ~ ~I ~ . , . QOOK _ 1~64 MAR t 4-AN t0: 42 ~ ` ~ ROGER POf7RAS ! . ; ~ ~ ST. LUCIE COUNtr ' ~ ~ . ~ ~ . i~i'~'. ~ . . FtJOR10 , _ ~ : . ~ . ~ - . 'I~ i: - ~ ~ _ - " ~ . ~ oCLQ ~ • ~ . ` r ~ ~~VSfE~~~~ ~ . - ~ . . i FURTHER CERTIFY thet 1 wil! , aompiy with . • ali ~ nqui~en~snb of a lepal msid~nt of this State. _ ~ 1 FURTHER CERTtFY fhat f hav~e na iMention to ratum to my former domidl*, snd 1 intsnd 1o romain in FORT ~ PI~tCE, SAIM' IUCIE COUMY, RORIOA, permana~tly. ' . - . ~ ~~xl~l-~ - . ~ cN.m.~ . ~ , ~ ~ • Bi''r1CA I~• `_'1`t1Lh111 _ . . _ (l4dd~s) ---SMrOrr1 t~ ind subsC ~ • Q~ tfih day pf ~,w - . - _ _ ~ 19_~~ ~ ~r: ' ~1 ~ ~ b:' ~ • ~ ~ ~ ' ~~011~1' + ~ r ' . NOt PubliC . , ' . M? . ~ , r + / ~ ~ . . • . ? a i t c- !•'v : o C. M~r Con~»tuto~n ~xpt»s ~ ~ •...ti` _ . , ~ . , ; ~ (T~ b~ ~oawled i~ d~ikah aad vrioiw~l f~d whi~ Cf~eic CMw~it Cow~, aud d~ wbb Taoc A~~~ ; . . . R~ ~ ~ ~ ~ . BO~IC • . ' ~ - - - - - - - - - ~