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. • .lLF+ t v`~'" ~ . ~tio~ ot Oo~nic~~e ~~d CKlsenshlp _ - De~~~' i ~ , TO ~ 5TATE l11'1~ C~NN T~ A~~R~ , 5,~. WCyE ~TY• FIORIW?: ~ ~his d~? in aaoo~'+~ ~ i ln th~? St~a of F1or~d+ ~t i am filinp ~daration of Dor++k~~~ a~ pti~+ P ?his is mq? Z22.i7, Ho~id~ Ststula• • 22Z. ~i°^ r i~~~:~~.i~- • tn confon~ih? 'wtth C1+~sPt~ _ ' - ~St~t~) t wss fo~~Y • ~~'t af ~y~ ' . ~ ~rwr t hsw tM~q~ mY do~nWN ' ~ ~ ~t Q~ .csn..r ~+a "w~•~~ s`_ aw ~ ~ . / . ~ • , tiw„ fid. ~ids~+, ot ths s~aa o~ ~~d" stn°' y • ` ~.w " ~~~~d 19~~-. 1 hslSie ~t ~ Numbr~) . . , t~+ ~~A allegd reside~ ~~d domidN in tfi~ St~» of Horid~. ~t ~ of cidz~?iP~ act~? t is b b~ taksr? ss my deda~atiw+ ~~~n?~nt snd tfiis st~te~n+a+ or bas~n~• °f ~i^~i~ ~ nsnt fsds, ~~~Is of P~°~? of hon+s, etc.) ~ pnss~ ~ ~ domkil~. P~~~s° ~ . . n form~r do~+Wls, ~sl af family to r+ew f~ _ ~ ~ . • ~'~.v ' . ~~.lR~.~t.r ~L _ ~ - ~ • .z~ - . . . ' • r~~ .`''v ~ ~ , . ~I~~!'~~~~ ~ . ' ll ~ ~ ~ i ~ { ~ ~ _ %r i • j7~•" - ~ - . ' . r . . , . . / ~ , ~ . *j . .r~r`~~~ t~~ . . ~ . ~ : , ; ~'sjt J r : • = . - . • ' ~~i~`; A3=~~:t'` A ~ . - - ~ , ~ . ' ~ ~t ;Y~ ~,4 ~ ~ ~ • - • - ~y WNh ~ r~-_; ~...y-i ~ . _ • ~ 1 v ~.~uR'fHF.R ~'t 1 wi{i ' of tfits Stste. in in fORT . ~ii c~+~ ~W~femenK o~ • 1°~°I res~ ~~m to ~1? 4o'm'"°r 'd°mi~~' ~ ini~r~d to se~ ` ~ intentbn ` 1 FU1tTHER CERTIFY that ~ have +na . ~LORIDA. P~f1°~tiy. PIERCE. S~NT LUCfE COUNN~ ~ . - ~ss ~o~x : . . . . Z~ Ph 3: OS ` ~96M . ~ ~o~Eapa~~rR~s~ o~ - . ~bC1E CbUN t~.,...~. s~. ~ ~ ~ y,~vorn to a~d syb~cribad baf~ .i ~wy.~ . T ' ~ • . . ' ~ ~ ^i?.. - . - ~ • t~ , . Natsry P~+~'k - ~ RpfiElt ~~COIIRi . ti+ `~:i ii i •~ti,r . , C~ ~~~s~ ~ ~ ~~~~0^ ~Otp[M t i s t~~''~ %~:1 S w~ l r ~ y.~ +.i:.~;'.,~ . . * 4 ~ k. . , ~ ~ ~ F 1 . ' ~ ' ~:~#r. • : a`~Ot - , f ~ ~IM11i!• ' CkarM t'~rtb ~ ~ ~ ~N a~d • C1 ~ ~ ~T~ br ~x~~d ~ ~ ~ _