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HomeMy WebLinkAbout1122 . _ _ ~ ~ira~~AAf I OR Q~MM~~! i111~ ~`r~iMi~l~ - j34~4Q ro ~ aT~~ ~a «,w~n ~?x sr. wcaE oou~rr, p~o~nor?: This b m~l d~d~r~Hon of Oon+ieilt and CMi~rohip in th~ StaN of Noritl~ thN 1 am Hlirq ~is dh/ in ao~o~d~r+a and iw co+tfamify wlth Clwp~Nr 5~rtlian 123.17, Haid~ SMh+~1~. ~ wrs iorn~rty a 1pd rwld~nt of 1~w11 Idaho (iq11?) ~ and 1~wid~d a! ~leot 71~ ~ . Mo~wr~ 1 haw cfi~+p~d my don~ii~ (Strwt and Nu~tib~r) , ~~d ~m a~d hav~ b~+ a bo~a_ Hd~ r~sid~r~t aF th~ Sta/t af Flo~ida sina ~ d~Y ~ Ilarcb 19 ~s..nd i r.~d..~ ~-1 Shaaroc~ ~Yiiisse _ - ~e~t ar~d t~r+b.r) NORT f11MiT LAIC~ COtINTY, ll~O~DJ1 ' srrd tfiis ~t+rt~rr~nt b b bt t~ksn as my decl~~tian a~f dfi~r~hip, acfuil Nqi! rssid~~ a+~d da~nitilir in tht Stai~ +vf FIoNd~. p~t h~n a~? p~r/in~nt faets, wch as s~l! af property or bu+~, or roli~qui~t of ~nploym~nt ~ ~,...••••~~r~•,,y fiorn,~, domicil~~ n~moval of family to n~w cianicii~, ptMChas~ of Iwm~. Mc.) G~Q,GUf T .c., : :s p i• s. ••~C,,,~; ~tt' ~ f ~ . -t~s4o . : ~a~; re..h'~ ~.~0 ~ ~ --5.~~~ . . I •'••N • • ~.B{/~ Bstsbiisbiag reaidmee 1965 Ap~ ~2 PM 3; ~ 4 ~ ROG~ER'}~ ~ ' i ~ st. ~uo~~~~u~r i ~ $nterins soa in 3rd Gra~de 1 ~ i • _ i 1~~~~ i~lif ~ W~~) ODRt~Y W~i~1 O~Ifl~f f~t/~fMyNflf~ O'f i{~ rM~lf Of I~t .Stah. 1 FURTHER CER7'IFY that t haw no ir~fentlon to ?tturn t~ my formK dorr?idl~, a~d 1 intrnd to r~3n in FORT ; Pt~, SAINT LUCIE COUNTY, FIGRlDJ1, permanently. i ~ 1 S . ~i ~ ~ ~ . ~ . . ~ v~ ~ v ' ' . ~ F 1 • . • ~ ; : • Marshsii Hess t ~ .I~ ti ~ I • ~I~ddross) ; , • t'~ , ~ t ~ • ~ ~~f•t0. swor~ a and wb.~crib~d b~#~n m. M~b ~ Apri1 ~4 63 ROOlR rO1TRAi ~w} qiR~I . ~aD~IRT lrotary Pubiic ~ ? ? ~ ~ D~ ~ _ ~ ~ ~ ^T" ~ i ; } R+~ ~+ar~i M i~iea/r ,Mi wi~l 111~ wllh CM~k CirwM Gwt, a~ ~ wiNr Trc A~w~~ . ~ R ~ ~.~e - . ao~,c