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HomeMy WebLinkAbout0670 i ' • l • t ~ aaluatian ot ~omici~~ ~d c.itts~shtp j3;~~~ . TO THE S~I1TE MID C~OtINTY TAX ASSESSOR, . ST. LtlCiE C'OUNTY. FLORIOA: This b my d~d~atlon of Oomldl~ and Clti~nshlp in th~ Stat~ of HoNda th~t 1 am fili~p thh day In ~ooad~nq and . „ , in•ao~fo~mtl~? with Chsptu ~21, S~ction Z4Z.17, flotld~ Statulrt. . , . . 1 was iorm«y • Ipa1 ra~d«+t of _~ldisest ~ Ind~ . . ~ K1b) tStata j ~ : ~ ~ ~t 1912 Locuat St - ~ ~w ~ ~ csK..r and t~,mb«~ I ~ b and am a~d haw bs~n a b~ona fld~ raid~M of ths Stah of Florida ~i~?a ot ~ ~ ~ . . JuIT~, ~q,~4 ~ m~. N 147 w. Prima ~ieta Blvd, , • ~ ~Strwt and Numb~~) lORT M~p, f~AMIT LIICIi CONNTY~ RrORiDA ~ ' snd thk stat~nwnt h to bs tak~n as my dsdu~tbn of citi~a~ip, adual Ipal rKidMOS and domidl~ in tiw ShN of Hotid~. p~awt hers a~y pertinent facK, wcfi a: ~le of property or bu~tn~, or mlinqui~et°of ~riployn~nt at form~ domidls, nrr~oval of funily to new domkile. Purchase of hoa~, Mt.) ~stabiishiag residencf ~ 132;E~33 • , • . - . _ . . 0••^'' ~ . - . ' _ F~~ ~~~,t~l~~ a~•~ • ~ ~ ' ~'~~j ~ ; . ~ ~.u~~ 800K - _ f . . . : . ~ - ~ =.:w ~ : . 1965 JaN 19 AM 11: 09 . _ . = : . , . : s r . • r ~ , . . , , ~ ~ ROGER POITRAS. t~fRK ~ . ~ ~ ~ id w • st. ~uciE covNTr. FioRto . : ~ ~ ; ~ ~ ~ - . . ~ FuRTF18t cHCrlflr tfiat ~ w~~~ comply with ~p olh.r nq~,lnrrMnts of s Ip~l rwid!m vf M~i. StN.. . - 1 FURTHER CHtTIFY that 1 havs no lntentbn ~a rotum b my formK domWl~, and 1 tnt~nd to rarMin ip FORT PIER~~ SAI~~~lC~E COUNTY, RORIDA, psrmansntly. - . GV~~C t . . , - ~~Q , . ~ ~ • • ` 4 ~ . : ~ ~ , • , - ~ : . • ~ ~ = ~ obn L, inso ~ . l : . ~ , - ~ • ''Y . ; - ~ . : _ , , , . . : • ~v ~ ~ ~~C'.. ••o , ~lsie Per~~`~ /'~~~~~~~iiC~~~ ` . ~ a d•ubu~tbsd b.fon m. th~s 19th ,janua;y . 19~ ~ lOOrER ~OITRII: , GRCNff OOIIRT Nota?~? Pubik . • ~ . ~ ~.C. My Gon~alon ~xpir~t . ~ Ri M~oasw~i M~ a~i M~~1 Alw wNr CMdc Cirwil C~y a~i ~~Mr ~ Tis ANw~a _ . - ' ~i 1Q9 F~ ~fi - . . , -