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.•r .A~~.i~ 1:~ Y - `ti~ \ 1~.•..' :Ttl11h~ ti i?- • H 'h - ---.-•.w..,_ . .~:..3..~....T;~:~.~.:~~ti' :i~..... ~ ~ , ' ~ ~aluation ot Domtcil~ ~ Citise~ship , Ss . TQ TF1E STATE ANO COUNIY TAX I15S~SSOR, - . E " S?. ltlClE t~OUNTY. FtOR1DlR: ~ ~ , ; ~ ' ' ~ This is my d~dsr~Non of Oo~midl~ ~r~d C'lti~ship In th~ St~ta of Horida that 1 am Hlin~ thh da~? M aooordana ~nd M oonformtl~? wHh ChiptK ZZ'2. S~ctbn 22Z.)7, Horid~ Stahrta. ~ . ~ wa ~~y s~.~.i ~ of 53x Nile So Caroiivi ~ ~ KhY) ~ (Sta») . and 1 ~uid~d at Rt 1 Horwwr ! 1uw cM~q~d nW danWk ± cs~..~ ~,a ~ ' b uid an~ and haw bNn a bona fid~ nsidrnt of tht Stata o# Horlda tinoe Tth . ~F ~_~Ievember i9~.4~ and ~ nskl~ a 801 So 15th Street ~ ~ : lSt»M +~nd Nun~) - ~ ~ l~ORT Ml~. SAWT LtlCI! GOl~11Y, lLORIDA . , and thb ~tat~rNnt b to be taku+ as,my dsduation of citi~ihip, act~~ Ipai ~id~~a and domidl~ in MM ShN af Florid~. , ~ prwrt h~n arey pKtln~M facri, wd~ a~ai~ of propKty or busi~u, or niinquislxn~nt of ~n~~{o~?n~rt af f~mar damkils, ronwval of family M+nsw domkil~. Pw~d~as~ of 1wnw, N~r.) ~ . Bntering Jeffrey lCim L~mberis in the lat grade~ ~ Virgil Prsnkli~ gsy , in~ the 4tb-~ grade R' > ~ i, ~ • a 1 ~ _z~1^ ~ .{.bn+''~~ • L : : ~ • ' : _ . ' l . M : ~ ' _ _ ~ _ _ _ _ _ - REC~ROED , - " - AND ,s: . . ~ . 7 . ` ~'E • ~OOK . ~ - r = ~ . ~ ' ; ` . t "y ~ : J t . ~~i ' y''•..,...+''t . ~ : . -9 At~tlO~ 24 ' ~~~"'',,j~';at`,.''''~ 1964 NOV - . : ; - ~ . - ; . aaGER POITRQS.~IDA } : - .,N _ ~ ~ Sj. lUC1E COUN1`!. fIOR - _ : ~ . . . ~ . 2<j . . ~ . • " .fV ~ . ~ ' ~ _ ~ 'i _ " . . . . " 1 " ! ftJRTHEIt GHlTIFY lltat 1 Wifl ooR~/ wffh ~1 ofl~r r~quir~r~nts Of a lp~l nsid~nt Of lhlt Sfal~. ~ ; . . ~ ' 1 FURTHER CERTIFIf t1~t 1 have ~o iMeMion to return to my ftxm~t`domkife~: st~ 1 inhr~d 1e renwtn in ~OttT ` PlERC~,,S~AINT WCIE COUNTY, RORIpA, p~tma~enNy. ~ . . ~ . f ~i~ ,,`,,,,~„~~1f~~~~',' • ' . I' ~ . . ~ ~l: ' ~~~`..........,,Cf ~s. ger 8a~ ~ ~ •r /.j t~ : ~ ~~1f F ? • . ~ : G f ` • - . ~j * + ~ ` Y) = ~ ~ } . : : _ , , = • ,~.'r~~~ (I?~d~s) 801 ~Sth $t. 1 ~ . ~~i ~~~~N~N~~r' ' t ttf~and subsc~b~d b~f~~ n~ tfiis 9~ day oF Nev~!mber . 39.~4. ~ ~ 3 ' . r ~ ~ ' ~ ~ • Nohry P~,bik _ i~ ~ ' D.C. Mr C~ommbdon ~xpiro~ ; , - ~ ' ; i a. r..~o.a~»a a d~plka. «~I .~i~i ~a.r a.~lC a~ar c.w+, .wi a~a~l. ~ T.ot w.......a ~ . . . - - ~e~i~ ~o~ rA« ~s . ~ ~ , - ~ - - - ~.r_