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•1~ ~?i!'~°•Wf'~ 0;4~.:~tk~: ~..v M .r.. - ' . ' .~wl ~ I~- .~r.i~ ~r+ : i~ . . w~...ti.r.. ~ _.w-~ r ~ D~claratioa o~t Do~mhNl~ ~nd Citlz~rnship ' . . ~ . 1`3$~ , ro ~ sT~r~ ~wo cour,nr T~ac ~?ssess~oR, n. u~ct~ touwnr. ~oRinw: - 1f~y ts my d~daratior~ of Oomkit~ a~+d Citirn+~F+ip in ih~ SNr~ of Florida thst 1~rn fllinq thh d~y le~ ~ooordana ard in oohforndt~l with Chap~or 2~. S~ttion x22.17. Florida Stahrhs. i was Form.~y a i.~ r~sssd.~+t of • Oh~_,~,~. - lrs~y) _ _ ~a~.) ! 1368 F Street . ~ ~ ~ ~~N 'a+d 1 rwid~d ~t (St~r~4 and Numb~r? ~o and ~m a~d haw bwn a bona fid~ r~sid«+t of ~ Stah of Florida sina 18th_~_ d~y af ; 3 3 'April ~ 19~ and 1 rostd. at . .r,d Numb.r) ~ l~ORT MlRCE, fA1MT LiiC1E COilNTY. A.ORIDA ~nd this statemb+i h Io b~ tsken as my ded~rotiw~ of citia~?ship, attual Is~aai retidsnos and domidl~ in thi Ststrr of Floirlda. p~t i~ ar~y perfineM facb, wd~ ss ssle of ~operty or bu~tin~ss, or rotinquiahmenf of +mplayn+~r~t ~ it fan+K domicih, rwrwval of fsmily to new dorr?idle, purchs~ of F+orne. etc.) ~ S . ; . t ~ i ~ $ntering DeUbra .ia the lst grsde . B ~ ~ ~ 135~ ~ F{LE AND RECDRDED ,,,~~~,,,;~o„~,,~~•',~~~ . n~ U~~t~ ~ ~i . ~ . 1~~ ~ ~ r~~ ; ~ ~ 2s an g o9 . ' ~ _ - : ~ ~ r . - ~ ~ 1965 APR ~ ~ ti ~:rf 't~ ! . ~ f ; , ~ ~ ~ ROGER POlTRAS. ClE1~K ~ = j . ~ ~ ~LQRIDA Y,; ~~a~; 51. LU~IE COt1NrT, ~ . % o wnns ~ . ' II J ~N~ ~s~~f , .l _ . \ ~ 1 . - ~~i~ l ~ . _ . ; . ~ ' '~~~r, ; ~,n~~~~~`'``_ , i ~ i RJRTHER C~RTiFY tfist 1 wi!! aompiy with alt other raqutr~ts of • lepsl rssidint o~f tfii: StNs. 1 FURTHER CHtTIFY th~t I hs+r~ no intantion to retum to my formet domi~ils, snd i int~nd to remain in ~ORT ~ PtERC~, S~A1NT LUCIE COUNTIr, FL~RIOA, permanantly. ; ~ 3 ~~~.~~~~,i~Nq~~~~~?,c`~; ~ `~~~tT;~+~o~,,;,,~ Fatty we11s 1 O. N..~~~ ir~ ~ ~.-~~:.•~,v;~ ~ •.,G~ r~~~ ~ • ~ : . .y ~ , . ; ~ 'ti c - ~ ; ' ? ..-i. ~ i,, , ~ . ~ ~ V ~?s~`-y~'~ m''~~' . ~df~i} - i, : ~ -~~j rt T.w~~a.~f'~" ~ , ~ . , } ~ I` ~•'.~~~~''~.y. •:s ' 3 i ~ . ~ Z6th APril 19 bs ~ ~ i~,,~ g~'b~ ~ib~d b~ore mr this da~ af - ~ - ~ ? ~feNt Y ` •,~fj~~I'.~~~1<<T~, , .h,.~l•'~'~ S Ij f ~ ~ ~ q,~K ~ Notary Pubik e~, ~.~.1~.~ o.c. Mr c~ - . ~ ' tt. w.eo.oM.+ M~#e~h .~ea ~ei~sl tl'~~.a w#i~ t~ic ar~aait Cwr+, .na ~a~aM wNh T,nc A..«...~ . 345 ~