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.1 • ,j. •(1 7 ~ .R. d .ri.~' ~ . . . , - _ i ~ ' ~luatio~t of ~ Cltis~eship _ . + _ ..L2~53 ~ . TQ 1~ STATE ANQ ~QNNTY TAX I15~S~S~SOR, . . : bT. ttlGE OOtMlTY. flOR10A: ' . . ~ • ' f Thh b my d~duatbn ~ Oanklt~ and C~tisMa1~ip in tM StaN of _Fiorida tMt 1 an~ filinp thb ds1? b? ~ooard~ a~d . . . ` . ~ : in ao~forn+ity with ChapNr 2'2'2. S~dbn Z~.17, Norida StNul~t. . - ~ . : 1 wa.~onn~rl~? a Ipal ~aid~nt o1 As~i~gto~t ~ ~ ~ Yisgi~ia ~.w.~w _ il . ~ ~ - ' ~ . . . ~ ~ 3 . 114 N. Ms~rae Street . ` ~ ~/yy _ . ' ~ ~ ' _ ~ ~ ~ "'I ~ . K' ' . 1~~ ~ ~R~/ ~ : ' . . . ~ ' . . . . ~ . . . . ' . ~ ; a and am and hiw bNn a bo~+a fW~ ~id~t of th~ Staa oi Horids sino~ ~ ~ 3 , d~? o~ . i. < • August 6~ ~ ' 181~ Prisa, v3at~? sivd rost st.i.uc3e _ . 19_--y and 1 ~id~ M ~ - ~~.'r~ .M ~nd Numbwl ~ 1~0~~ l~CRr fAMIT LtIC~ 40tMITY, l~ORMH? _ and M~b sfaNir~t b to 6~ taka~ as my d~daration af dti~n~l~ip. acfual Ipd r~ie~no~~a~d domldl~ in tIM Sf~N of Horid~. ~ ; ~tm~rt h~n any psrtin~M fad:, wd~ a sal~ of pr~opKtr or bust~as, a trttnqubhm~nt of ~mploym~nt - at formK domidi~. ~wnavai of family b Mvv domkil~. Pund~a~ of hae~, Nta ~ ~ Bstsbiiahi~g reside~ce , . ~ . . _ . _ ' - - - ~ ~ - - , . f z ~ r`` ' - ; ~ ~ ~ a ~ ~ • x , ~ . - . ~ . E l • . ~ . ~ , . ~ ; f~.E AND RECOR~D _ ~ ' < , • hM~({{~~/ _ _ vg~'i`' - - ~ ` } - + YYW~ . i! - . f ~~i Q~ ~ r~ I - . . ~ _ , . . ~ ' ~ ~;r~ ~ • . ~ ~ !!64 0CT t 3 AM 9: 51 _ i ~ ~ . . * . ~ ~ ~ ~ . - . f ~ .•w.' ~ ~ _ • ~ ; ROGER PO~ITRAS. C~.ERK _ s~~' • ; _ , ~ ~ . ~1. LUCiE COUNT~. fLBR~QA ° ~ %~r; . t f . jr ~ . i L . . ~ , t' , NNMNN~~~ ; . ' , ' ; • ' j. ' i ~ t- 3 . : - ~ : •t~. , . - . • , ° ~ . . - . : - : ' ; - • f. _ ~ ~ , . _ i ~~~M ~ Ml~ 0~l~y Wb~1 ~ OI~1K rM~lllfrl~lM~ fM~ 0~ 1~t ~ . - , - ~ ~ • _ _ 1 RlRT1~t CERTIFY tlwt 1 hiw no IM~Mion to rotu~ t~ m~? tormK domWl~. and 1 Ml~d~ fo nm~n ~11 f~T : . PIElt~ 5111NT WCIE COUN'i'Y, FIORlDA, pwmana?tl~?• ' . ' ° ~ a - ' ~~~~.a~.~~p, - ~ ` t, ~ ~ s ~•ti,, . ~ ~ ~ : . ; ~ ~~~GS+ ~ v ` Di~~d CsQldibOlOU Yi1b~aCh - ~ ~ ` M - gh ~ ~ • ~ ~ ~ ~ y , ~ r ' + ~ - w iy.. ` r ~ ~ ~ - ~ ~ ~ ~ ~ OA i~ ~ . E ! _ i~, x ~ c. _ _ ~ ~ ~ ~ ~ h~01~ HM lhit ~ ~ pf ~CtObQ= . ' ~9 _ 6~ " s ~ . . . , _ ~ . ~ , I ! , . C~AK 001RT . ' _ ' ~~ry ~ . . " ' ~ i F y 0~- . . Mh? C~~iWion ~ ' . , ~ : - _ ~~,1t~~~~'3 - , ~ ~ ` ' c~i i~ .oo.ew.~ i~ ~,NaeM~..wi .~r ai.~ wlll~ a«k ~It C.~, +~Nw. wlM~ Xaa AN.~.J - ~ ' ~ ~ ` . ~ : ~