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~16~ .a~.~. - - • ~ ~~wl.~lAw~Y'~~^"1/~~f? ~ „M~.~': li~:~:-~ ~~lN.~ N-~. \ - I,~•- • . ~~~r~/~~~~\~~I~~II~~~i~~ ~A ~IY~r~ ~i~~~ . . ~ . -iN~01~~1_.f 3~ ~ r y-i.i..~ ~ D~claratio~ ot ~ornicite and Cttlse~shl ~ P ~ T~O THE STATE ANO COUNTY TAX AStiE554R. ' -LvVa~aS ' 3T. llld! COUNTY, fLORi~ ' ~ ~ ~ fit~ t: nry d~daration of Oomicil~ and pti~ship M th~ Std~ of Fiorida that 1 am fllin~ fhis dsy in ~ooordana and ` in aonfa~ni~y with" Chaphr Z22. S~tioi+ 224.17, Florida Statuta. . . ` ~ was ~on~lr . lap,~ ~r.std.rn ot Boston ~ ~dasaacbusetts ~ (CHy) (Stah) a~d ~ n~~d.d at ia Blko stree t•= . - HowwK 1 haw chatqsd my domldh s t5troat a~d Numba) . . ~ ; b and sn~ and haw b~en a bo~a Nd~ ~idsnt of the Sh» of ~Flatd~ sino~ 24 d~y of ~ : ' Octaber ~ 19 64 ~ ~ 2518 Oleander nlvd • (Stre~t and Nwnba) . ~ ~ l~OR? f~A1NT ttlC~ COUNTY, ftOR~DA - . - ; . , _ snd M~s stst«n«n 1s to be taken a: my dedaration of dt~sn:hlp, aclwl ipal residena a~d domkil~ !n 1h~ Sla~~ of Florida. . , . _ ' d~at ha+~ any pertinent facn, wch as al~ of pnoperty or b~i~s, or nitnqut:lxr~t af uriplo~ym~nt : ; ~t fion+n~ domidl~, nsmoval of family to nsw domldie, pu~ of hott~, e~J i ~ • 5 i • ' 8sta-bliahing residence - 1~~5 _ ~ . . ' . ~ FI • A~lD RECO~Dt~! . ~ ~ fIV ~ •1s ~ ~ - . ~OOK ' c - j~,~ f~,,,,, . - . t964 f~0y - ~ ~ ~ _ $ AM It: t~g ~ . ? . . ~ ' !'r** ' d ~ = ~ ~ ~ , R~GER POITR : : _y : ~ - - s~. ~u r _ - , j: ~ai~~ _ C f COUNTY, flpR pk~ : ti.~~ • ~•t` ~ O ~ - , ~ ~ ~ . ~ - ~ ' . - ; I~';'•.~.~•~ ~ ~ ~ . . ~ ` . ~ A~' ~(y `,11 . ,.~i- . `•,~~~~~/tNiff _ ~ . . ~ • _ ~ 1 RJR'TI#R G~tTIFY Miat 1 wlll aomply with sll athK t~qui~wn~Ms af a lepai ra1d~M af t~is Sfat~. . . ' 1 FUR1'kER t~R?IFY that 1 hsve no inteMion to rotum t~ my formsr domWle, and i tnt~rd 1o ronwU tn FORT ; P19tCE , R~UICIE COUNTY, FLORIDA, permanenNy. ~ `,•,~~~~~~HIb~~~I'` ~ : 13 C~ ~~j~ i ~ ` ~q~~~~~ ,jr / ~ ~ ~ r . s` = <1 J• !h,~ ~ . ~ ~ , s ~ r ' : L'~~' n Joaeph S Blanchsrd ~ ' + _ • . • ;3t~?~,~ G~~ • ~ t~ ~ ' S Novembsr 64 3 . bw~orn a and subsorib~d befor~ mt this _ daX of ~9 . - ~00lR !OlTRA: . _ . ~ ~ ' ' Notary P~Ik : Sll , D.C. ~ My Cornink~ip~ ~xpina ' - ~ ~ - - 1Q2 j~328 ~ ` tr. w~awMi iw ~ s~l ..yi~r nw wIN~ a..lc a~wM ewe~, aw~ drpl~ wtM~ Ta~c A~...~ ~ _ _ ~ . . . _ - ~ . • .