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••w ~ r. I ~ 1 ~ ~ D~clacAtlo~ ot Doq~icila a~d Ctt[senship I, , 128654 i ~ TO THE STATE ANO COUNTY TAX ASSESSOR, ~ , I ST. ltJC1E COUNTY, FLORIOA: ~i ; ; ~ ~ ~ ; Thl:1: my dedaratlo~ of Domtcil~ and qtizsnship 1~ tM Std~ of Horida th~t t am fllirp tht~ day in aooorda~a ~nd ~ ; . i~ aonformity with. Chapb? 22Z. Section 2~?.17. Fbrida ShtuNt. ~ - i ' . ` I ~ ' ~ w.s ~o?m.?~y a ~,Qa~ re;~r o~ Dedham I~e~sesohusetts ; ' ~ ~ tC~b) (Stat~) . ~ , . ~ ~ ~ ~ ~ I ~ ..,nd ~ ro~~dsd ,r 81 West Chester Oirole . 1~bw~vK 1 haw chanp~d mY domkil~ ~ (Stre~ ~r~d NumbK) . to a~d am ar~d haw been a bo+~a Hds resW~t of tha Staa of Fbrida sina ~ ls'~ ~ ` I { ~ ~ ~ 3dpLembsr 1962 ~ Dori~ Dri~e, Late Kood Paie~Bstates , ~ . ~nd 1 ~W~ at . (SfroN and Numb~r) !'~ORT M~, S~AINT L'JC~ ~OUNTY, lLOR~A ~ a?d this statar~~nt is to bs t~ken e~ my dedaration of citizen:hip, apual lepai ~ald~na ud slomid~ In th~ Sht~ of Ho~tda. ~ , pn~rt h~m any pe~tinsnt f+~, :uch as sale of propsrty or b~nineu, or nlinqul~t of ~mploym~nt • ~ at tormer domidls, removsl of famiiy t~o nsw domidle, purchase of Iwms, Nc,) - I, ~ • ~ - ~ ~ r ~ _ . . ~ ~ ~ . ~ - ~ i . ~ ~ . ~ . - . , } Establishing rseideao• • . ~ . ~ . .<<~!1 t ` • • . ? =1 . . , . . ~ ~ . ~ t ~.s+~~•~ " it*f , , 1964 ~ ~ . . . , . Q,~3~ ~ ~ ~ ~ Rp ~ P~j - : ~ ~ a ~ ~ S~. G R p 2.'s~ ~ ; i ; ~ ' ~ • ~ . ~UC~f C ~~RAS - . . , ~ . i _ . r _ , • . r _ . ~ - ~ . . ~ - ~ ~ ~ pR~ ~ ~~\.~~••...:..•p, . . Oq . ~ , t~ E c . . , . , . . , ~ . _ . ~ . - ~ ' , . i 1 FUR~I~ER Cgt71FY thN i wili oorr~ply wNh all oth~r n~quinrrra~t~ of • Ipal r~id~M of thb StaN. . 1 FURTHER CERTIFY that t have n~ inte~tbn to ~etum ta ~~y forrtwr domitii~, ud 1 i~t~nd tn nnwln tn FORT ~ PtERCE, SAINT U1ClE COUNIY, FLORIDq, psrm~enenNy. _ ~ ' ~ • ~E~~. ~ _ , . fr, ~ ~ f; `°c~ f . . ~ - ~ ; `i:"~ ~ •i}i ; : ~ , t~illis~ "B.Rsx~ndea . ; . . ~ ~ . • ; , . . . ~ ` - ` ~ • ~ " ess ~.4.I~~~,; f~ ~ ~ . ' ~ t !r ~r ~ _ ~,~`+'~:ti r:. • ~ . . : ~ ~ . `~nMa and wbsatb.d befon r+n. thb ~ day of ~i~,ou~t , ~ 19~.. 't ~ : . • RO~ER ~OITRA~ , q~ERK COIIRT . . p~k . ~ D.C. My~~ ~ t - ' . Qi b~ ~ i~ d~NsaM a~i «i~+~ ~1 v~ CiMk CMa~it Cow1, a~i d~iiaM wiN~ Tax~A~~rJ ~ . • . . - - y-~ - - v~