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HomeMy WebLinkAbout0062 - - - - _ _ _ ~ _ w rr . . . • - . pa- - Dsala~ation ot Oomiail~ a~l CKlssnship ' . , . ' 1322~ ~ ~O THE STA~E At~ COUNTY T~?X ~~SSESSOR. ' . ; ST. I~JCIE OOtN~RY. FLORIW?: . j Thh is my d~da~atlo~ of Domkll~ ~nd pti~n~lp i~ thi St~t~ of Horida that 1 am filinp tF~is da~? In ~ooo~~la~+o~ and . in oonfon+ntty with d~aptu Z~Z. Ssctio~ 2~Z.17. Narida Stawta. - ~ - Bsonxville ~ ' New York ? 1 was fo~mwly a Ipal rosid~t of (Stata ? 900 P a lme r Ro ad . Horwv.r 1 haw dMnp~d mY domkil. ; ' ~nd 1 ~ld~d ~t , . ~~t a~d Numb~r) ~ , . ~ . 15th - d~y d b and am aad haw bNn • bon~ fid~ ns1d~M of ~ StN~ of Flaida tina ~ . 449-Rio Nar Drive € , 19 64, and 1 rosid~ ~t . a~d NwnbK) ~ . s ' , ' lOtt MERC~, fA1N? ItIClE CO~NiTY. lLOR1OA , a~d thia stat~+rwnt b to bs tak~n a: my dsdaation of dtizwahip, aawl Ipal r'~id~^°~ ~d ~N in th~ Sta1~ of Horid~• ~ or bv~n~ss, or *~litpui~++~"t of ~mpl°'ynw?t pnssrt hsre any pertinent fads, wch a sai~ of prop~h? - ~t formK domidls, ren~oval of family to nsw ~domki~, purcha~ of horns, Nc.) _ Bstablishing residency , ~ . ; 13226~ - , o~ ~ • y~~'i. ~ = • ~ ~ ; ~ ~ - FlLED ANO R~CORDED ~ ~ , . - • ~ t-- • QbOK r`' `a2 ' ~ ~ • • ^ . :rt~~ ••-*..r ~ ; - ~ ; . ~ ~ 1965 JGN -5 PM 3. 1 ~ - ~ ~ - . - . ' ROGER POITRAS. CIERK . ~ ~ n~,,,,,••• - S~. LUCIE COUNj~. fLORIDA . . . l ~ ~ • ' 4~ ~ _ - ~ ~ ~ . ~ Fu~ cHtnFlr that ~ wi~~ compi~r with ~I~ ar~ nqui~wrrna of . Ip~l r«id«a af th{s Staw. ~ . r i fURTHER CERTiFY th~t 1 haw no int~ntio~ to roturin ta m~? domidl~, and i tnt~nd io ran~ie~ M FORT , ~ - j p{ERCf, SAINT WCIE COUMY. FLORtOA, Permsner?dY• ~ - ~ ~ - a . ' ~11~[s~ - # ~~~,~r.....!~ ~ jrieress lCea~ yo ~ ' ..s~.. , - (fo=serlY l~ereas Yenyon Surerus ~ ~ . r +Ii ~ ~ ~ : ~ • - . ~ ~ ~ .~a ; . ~ . ~ : ~ ~l Sth ~ Jstnuary 19~~ . ~~x~~o.and wb`aib~d b~for+ m~ tl+is °f ~ S i ~ • ~ ~ ~ . ~~~~T Notan/ Publk . aw+L~s.~ fl C. My ConMnbsfon ~xpi~+~s t , O11 _ f ` aMl Hl~i will~ CMiI~ p~~aN Cw~t. , wiM~ T~oc AMw~a ~Ti M ~oaw»i i~ d~ «~r , ~ 1 ~ ~ . ~b.~~c ~ y~ ~ . _ ~ : , ~