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~ p I ~ ' D~ala~atlon of Domlall~ and Citls~rnshlp ~ , ~ ~ ~ ~ . TO THE STATE ANO C~OUNTY TAX ASSESSOR, • . ~~s~j . S1. WCIE COUNTY, FlORIOA: . ~ • . ~ This is m~r d~duation of Oomkil~ and Citimn~hip t~ th~ St~t~ of Florida th~t I am flit~p th(t day 1~ iooordsno~ ~nd in co~famity with Ghaptar ~ZZ. S~ction ~~~.17, Hotida Statuhs. . ~ wa formKly a ~.qal hatd«?t of BridgeporL l~eM YorY _ ~ tCtbf ' lSta»} i • 1 ! R. D. 1I~1 ' and 1 r~std~d ~t ~ Hoywrv~ 1 haw cha~p~d my do~nWl~ ~ t~~N and NumbK) ~ ' b a~d sm and haw bNn • bo~a ficN ~id~nt of ~he Staf~ of Florida tinoi ~ day o1 ~ ~ ~ ~ ~ 1?lf Poao~ D~ L~n prado Auatiat y 19~_, a11d 1~id~ N I ' . (StrNt and Numb~) . i ~ PORT ~AM~1T LNCit C01lN~Y, flORIOA ~ I ~ • : and this statement i: b bs taken as my deds~atlon of dH~n~lp, adual lep~l rotid~na and domidit in th~ Sht~ af FlorWa. ' • ' pnsert t~sn any p~rtin~nt facn, wd~ as sal~ of props~y? or buiineu, or roli~quishnwnt of ~mp{o~rrtwnt ~ ; at formK domidls, romoval of famlly ~o nsw domidl~, purchas~ of hwn~, Nc.) . - ' ` ~ i • ; ffitering ohildre~ iaa school ~ ~ Frstablie8 rssidenos . ~ ~ • :s:.`: ` ' ~ ~4ss . i ~ ~ ~i 3 ~ . - . . ~ ; ~ ~~ii o~ ~ . . . r~ ~ ~ooK I ; ~ + ~ ~ ~ 1964 A+;~ 2 I ; • 9~ <<.,,r., . s AM !0. 35 ~ ~~j ~'^:t.,~ ; i~~ - . . R~6ER POtTRAS. aERK - . _ ; `4'~~:' - _ . . _ , - ST. lUCIE F~ . , : Ca1tNtr. 0 pa • ~P~~1,:~ ~y: ~ ~ ~ , . _ . " : ~ . .J- ~1 ~3 v - • _ ~ ~..~~~.w . . , ar..ns.-li- - . - . . ~ . ~ ? ;f / • . ~ . . ~ ' ' ~ ' ~ ~~~~CIE ~4 , . , . . ; ; : . . . . , . . . . . ~ . ' . . ~ _ • ~ . . ~ j . 1 RJRTHER CERTIFY that 1 wlil ~{r ~ ~ atl o1t~ ~~qui~K of a Ipal r~nt of thi: State. 1 FURTHER CERTIFY that ! have rw intention to retum to my form~r domWle, a~d I int~nd to rom~in In FOitT PIERCE, SAINT WCIE COUNTY, FLORIDA, permanently. , ~ w ~ jo ` . ~ ~~~''r. ~ . . v~,p - . ~ i~~ ~ •~~w • ~ •r . . . . • . t t: Iil,~=~ _ ~~1~~ ' ` gtassi~T 1~. eud ~ . y ~ ~ ' ~ • t ' ~ ' . ' f , ~ y~1 • • . . ~~,~~,~~M~.~. • ~ 1 ~r . . ' . , . ' . 4' ~4 .....~0 . , . _ b a~d wb~aib~d b~f~or~ m~ d~b 25 d~ of _ AuRUSt . . r ......_.1q.~ - tooet . . , ~ • ~T ~ • - _ ~ Notary Pubtk . - . ~ O.C. ~ • ~ . ~ • My Car~rr~i~lon sxpins . B~ ~ ~ ~ lTi M~ M d~pNsat~ a~ ~rtoMii l~i wlll~ Cl~r~t CMrik C~~, a~i i~piiarM wNl~ tavt Aw~~ta _ _ •