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HomeMy WebLinkAbout0506 .,M •.,r~t. ,F'~- ~~r\\.~~/~. . 1{~~r .~~5='~1~F f.Jr . . ~ 'j ~ vrf6 Y1~1+7' ~a'~~ r , . . . . . ~ . ~ ~ ' . '?ii^^` ~ ~~v ; { - ' ~ - ~ ~ ~ - - ~ . ' ~ DiC~a!"i~10l1 O'~ DWM~t11~ i11d ~diN'Mi~1i~ ~ ; . i ~ ~ s~r~?~,wo cou~rY T,?x ~sses,sa~, . ' 1342.r~5'i sr. wc~ oou~rrr. aanow: ` ~ I ~ . ~ ~ Tl~is h nh? d~da~~tion of l~icii~ and Zitl~al~ip in ti~ Sbw of Flo~da thst ! am ii!!np thlt dhr in ~ocardino~ and . , dn conformfh? with dwptK 222. S~ctian 27:t.17. florrida Sta~ul~a. ; , . , ~ 1 w~ toren~ir a Ip~l ?ssid~?t of Ha,~li Geer~ia } . ? ~ ~ . ` and 1 n~~d~d ~t RQdte #~1 Bo~t 79 . MovwwK 1 t+~w d~an~d mY dianWM ~ . ~ (Stn~t arr~d Ph~enb«~) ~ _ ; b~d om and haw ba+n a t~ona fid~ r~sW~nt of the St~ti af Florid~ ~inar Zl~t ~y Q/ s . ~ , ; March _ , 19 63, i ,r,~~ ~ ~a10 Airport Aoad . ~ (Stre~t •nd NumbK) l~ORT.MlRC~, i~AN~it LUC~ CAIlNTY, RORIDA t u~d fhis shhmsnt is to be taken as my decla~atbn of citiz~nship, actu+rl Ipsl raidena and domkile in ifi~ Sht~ af Hortd~. ~Iru~rt i~er~ amr pertinant facts, wch as sale of propsrty Qr busir~s, or roltr~quishrnMt of ~n+playm~nt at iorn~ domkile, rsmoval of family to ~ew domicile, purd~ase of tame. a/t.) . . Be~eri~ ~Iaii - 12 frs. old - bth Grsde : _ ~ ~ ~ ~ 139~255 . ~ ~ f~.EO AHD RE~CORDEU . - - - . " ~ ~.~.~a1..Reoo~dB00K : `,~4 J "'~°~G.,?~. : e9 ~a~~~ ~ : 1965~tR-~~3 AM - ~1s- - . . - . - . ; - S~f G• . > ¢ ~ , • ~'s = ~ ROG.~R _P_~I~'RA~. CtEaK _ - ; ~ . : ~ sY. ~~r~ ~~~~~r. fia~~o~ - ' ; _ . . ~ }•i ~ a~. _ - C~~Eo~~~``'~~`` , . : _ ; _ : . i Ft1RTHER L~TiFY that 1 wii) comply with ~{I other r~quinm~ntt of a fe~sl raski~n~ of~~kds Sts~. ~ ~ 1 FURTHER CERTIFY•thst i hsva rw intention to return to my fo~ domi~te,-~nd~:t (rrhnc} to r~in in.FORT. . r PfERC'E, SAtFYT LUCIE COUMY, FLORtDA, pertnanenNy. ~ _ ~ ~ - ~ ry ~ ~I~r'~ . ti~~~ilC.~. - - ; , ` (Nam.) Rnth Ha1.1 . . ~ . - _ . . ~ _ , - . _ Z21A Airne*t ~e~d ~ . _ ~ , . i - • . . ' ~ _ i ' s~w+orn ta and wb.uibed b.to?• n~,~ rhis Z~ day of l~lsren ~ y tq~,~,., ~ _ ~ f . . , L ; . l~....-• ~ . C~WT~COIIRT • 4J ~ ~~`••r ~ ~ ~ ' ` t~ ~'`t',,,~ T-~`',! : pi IVot~ry I~Ik ~ . . . . ~ ~tr ~ ~ s ~ p.~ 3~~ My C.on~iuion ~cpirp - k : M ~ : j • ~ ~ , -f,, . ~ a ~ Rs M aoesw~i M~Naw +a~i whl~ Cl~ek ~ril Gwti awil d~lia~r wM~ Tavc A~r~ i • . $OOK ~1~ ' - .~~..,4,_~,...~..~,. • ,._,.....___,__.r._._'_ • ~