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HomeMy WebLinkAbout1963 . ~ ~ ~~~w~~ . -~a t~ sTA~ rwo ca~nr TNC a~o~, J ~ - S1. liKiE COIN~t11r. RORiQl4 ~ ~ ~ Tt~ b my d~dar~tbn of Ow~icih~ ~nd pt~hip In tM 3ta» of Norid~ Mat 1 am tiii+p M~N dN? M~ooord~.~a ~nd - -i~ aa~+ion++iry with Cl+ip~t ~etio~ ~.1~, F~id~ ~1u1M: ~ . ~iw~M ~Y~~~1 ~1 ~ I wss Fotmwir ~ Ipsl nokM~M of ....~~i~~0~ 1l~~,~ , . . - - " . ~ . and i~jd~d i! ~~rtOa L~~~41~t! 88 ~1 . • Mpywv~ i h~w d~eq~d m~ don~M f~Str~Nt s~d PluRil~) ~ . _ b and am a~d haw bMn a boRa fifld~ n~ld~nt of tiw SbM oi Flo~id~ ~i~ot ~ Z.~ dM? ~ ~i ,~9~ and ~ nud. a~ Z183 ear~?ra ,se.~- ~ _ f~81rMt .i+d NuenbKf I~IRt ~i~A1Mt E11Ca COIMRY. l~iQR~A . ~ - u+d this stat~r+MM ~ to b~? tsk«e m~r d~daration. of dtisr~ship. actwi f~p~! ~ukMna at+d do~nidir in tht Stat~ vf Haid~. (trawt h~n arn? psrti~t fat~s. wd? a sal~ of p~op~ty or bwin~a. or r~IMqui~t~r~t of ~mpby~ at ia+~ danidi~?. nnwxal o~f fa~nily a m.w doimicii~, pu~ of twiri.. ~c.I - PZ~?CIY6F CHI~ Ii SCHt?OL~ . - - ~ ~a. - a:iitit~? - l~i prs _ ~ ~ P~sp ~ritt3.th - 14 ~r~ ~ ~ ~ Brsnaa l[o0n11,T - ~ :.1 . _ E t ~ - - - 4 . . . . ~ . ' . : ~ . . . . ~ . z~ . ' . ~~~0 I~~{~ ~ b~ _ . . . . . ~ . . - . _ ~ ST. ~UCI~ COUNTY . ~tE~O#tA V ~Y - _ _ _ ERIRl~Q ~ 1~~~~ ~~70 A~ 21 P~1 2: Zs - . _ ~ ~taGER POITRAS ` ~ Ct~ERK CIRCUIT ~~URT= ~ 1 FURTH~t t~tT~Y t!~ I wHt coRnplY wNh aN olh~r ~ of a Ip~i ~widant af thi~ ShN.~ ; _ f . ~ ~ 1 FURTHER CEdtTIFY ifiat 1 haw no intsntion b rMum b m~? fomeK domidi~, ud i inhnd b~wrNin ie iORT PI~RCE, SI1tNT UKtE COUMY, ftrOR10~?. Pun~nth?•. ~ , . ~ , ~3' Q : . l~~ ,;U~ ~-~„t . , ~ • ~~,jJP? 1,-- ` 1 ~ `G ~ ~'f~, /~-/_~~~~~:~3~i~_ ~ .4~ ~u~,~ ~ A r - ? ; ; , r a ~ ~i ~~~3€ `~~;-'"~+s ~f=~~s.'a.!~ - ~ - t_. j •~v~t'4"-~. • ~1' ; 7};•~s. . i~• t~ :ubiari~d 6~fon m~ this ~7~ of ~~~t 19 70 - . _ d+~'!? : ~ ~ : - ~E10~ lO~~Ilt ~ - . - ~ ~ ~ ~1l ~ . Sf? ~ D.~G. Ny? Con+n~iwton t~Ri~a R~ M~ a~i ~.yi.~l Ai~i ~Y iiNk ~Mwd1 ~iwly a~i i~Mw ~ Ti~ A~wei - ~M1~ - a.. ~s , : - . _ _ . . _ . _