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Home My WebLink About1601 ~r~ ~ ~ ..ir • !?.a f~1 t~ i! 1~a ~s•.!~ "'~",1~i ~ ~ . o • iM , ~t 1~ . . _ . . < ~tiwrLwiwl-.n. s 4 ` ' . . . ~ ' , . . i i . 3 _ D~cluatlor~ o~ Don~l~i~~ a~d Citisrrrship ; ~ ; 1~0 THE STATE AND G'~tJNTY TAX 11SSESSOR, ' ST. WGIE GOIJPlT1f, RORIQA: : ~ y TNs b~? d~drrafion ~of Oomkil~ ~nd CiN~ahip in tM Slat~ of fiond+~ th~ i~m Hfi~p N~h da~r in aaoord~~ and ~ in conformHy vrith Clapl~r ZZ~. S~ction Z'l'at.17, f1orida SS~taatut~. ~ t . ; ~ ~ ,~„s ~y ~ ~ Lsxrence La,nsas . . lr+hr) 13+~) ~ . . ~ Y V «+a ~~.t ia a41d asd nr. ~ r~,~ ~+,~,~,.d m,, ~w : . cs~ «,a r~.r~ b~nd an and Iww b~~ a bona Nd~ ruid~nt ~f ths Shh of F{orida ~ ~t~! day o~f ~ April , 19b3 30~ N. 12th St. - C5tr..t .~d tvumb..f ~ . POR1' ~CE, ~T tUCi~ OOtN~ITr, !l~ORqA . ~rrd this stai~m~nt is to b~ tak~n a~ rny dedaration of citi~nship. ~ctuel Ipsl rKici~rr~a a~d domidli in th~ Sta» af Horid~. - pmwrt h~ any pKtin~?t f~ch, wch as ~Ve of prop~rty or buainess, or r~bnquishm~nt of ~rnploymi~t • ~t formsr domidl~. ronaval of famfly to new clorntcila. purchas~ of Iso~r~, etc.) BST/~BLISHII~IG RBSIIIBNCB ~ ~.a~"~l~u . ~~ti~~~O~~+~trr,,,~- . • 'ti _ . . . A; ~~....~t~~a~ /i~~ . ~ ' . : ~ • c O : • • , • . ~ ~4i.wf ~ n n • , , • r' , BU~ = ' it,'~•:.`~ S~ .i N : i+ 'rr;.~ ~ i + ~ i ~~J 4`;."~; : ~ . t965 I 3 PM 1: 50 ~ - ; ~ ; ~ , - s: n ~ y.~ ~ ~~b ROGER PaiTRAS.CtERK ~ ~ff~r~~ ~iin ~ ~ 3T. ~UClE COUNTr, FlBRID . . ! i~iRTt~R C~RTIFY that t wili a~mplY witfi ail o1h~r rpuir~n~nt~ af a Ipal raid~nt of thb Shti. 1_FtJR~}~ER CER71flf thai t have no intention to retum to dorriki . 1 i tv rtrr~in in FORT ,;;F:`~.,;;+~;zi'~ ~ p~ ~.ti ~CO{.11rTY~ f1.OI21W1, pKn'ISfYSftt~y. - s ; . ~ ~t~... ~+a +i~~.' _ ~ ~jy J~,;: ~~S'' ~~v~. ~ ~ ~c~ir ~ ~ . s r.i ~~^1 • ~r ~Y ' 1 ~ K ~ M s :w oG~~~- ~ _ :q ~ > • :,;'9~1 ~4 , ~;r . ~_!1~ ~ + . ~ i.~ µ S ~ . Q RON L. J J` ~ -~s. ti~. , : • ~v~,' ; .~'•~VCI~?;'Gp . . (Addras) ; f.~~t~Jllil11~1+'~~~' ~ - . + z 5wnm "to and wbsc?tt~d b.f~• n,. ~h 13th ~_April iq bs ~ t - ROOR ~ t~sry Publk . d!? O~C. . lMiy C~omm~i~brr sxptru tTo M i~ i~isaM a~i a1~1 a~i ~ wiN~ T~ac l~ww~w~a • , - .