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i i t • ~ f ~ ~ . ~ De~i~~~atioh ot Domi~Ote a~d ~itl~erashl~ 1.~~~gf3 i ~ - ~ To tH~ ~r~?~E arvo c~uw~Y rnx assFSS~R, ~ . ~ ST, IUCiE COUNTY, FLORIDA: ' ~ • ~ . ,-:i . ; . , This i: my declaration of Damidle and ~itlzenship In tha Ste1e of Florida that 1 am flilnq tfila day In acootdence ~~c1 in oonfo~mity with Chapter 222, Section 222,17, Ftartda Statutas. ~ ' . . ' ~ i was fcrme~ty a legat resident of Indianapol.is s~di~~a ~ . ! tCiy) (Stato) ~ . ; : ' and 1 resided at 8410 CoAaxxOe Roa~l Nowsvsr 1 havs chan~ed my domicJl~ ~ (Straaf and Number) ~ ; i t ~ . , , . ~ G.;1 ro and am and have been a bs>ne fida rasWe~t of tha Stats of Flo~ids a(nce ~ DeCe~ ber 12 ~Y ~ . ~ ~ ,~q 64~~ a~ ~ roside at 3816 Rid#~Chi~veA Road " ~ (St~eet snd Numbar) ~ . : ' PAItT MgRCE, SAINT LUCIE CCUNTY~ ftORtDA ~ ' ~ . ~ ~ a~d thts statem~nt is to be taken as my declaration of citiu~ship, actual legal n:idence and domictle in th~ Staft of Ho~ida. ~ (Insert here any pertinant facts, auch as aale of property or business, o~ relfnqul~ment of emptoymHtt at former domiclle, ramc~al af family to new domidte, purchase of home, etc.) . . , ~ - ~ - ~ ~ ~ntering Three (3) Children in School ~ _ . ~ ~ ~ ~ . . , : ` ~ ~ . 131488 : . ~ . ~1. 3~~:: b . ~ . ~ f ' ~ ~ f ' t : ~ 1 ~~'t.t~,z•~tt?t,.~ . ~ . ~ ~ • A~ ~ECO o~a _ . ; : , r - cta BOOK _ ` ~ ~ + • . ~ 4 s~,; . M, t . . r+ f , - _ tl` _ . ' ` : j~i? w,~~ ' ° j . ~r e - . ~ . 1~64 0EC t 4 AM 9~ i 2 : ' ~ ~ ~ ~ ~ . . t ' ~ ; • • 4 - : . _ . ° ROGER POtTRAS. p.E~K . . = ~ , ~ ~ _ i - . ' ~ - ST. l!lCtE COUNTY, FIORID~ ~ ~ ` _ . , _ { , . - ~ ~ ~ ~ - ~ , , : ` ;t . . ~ . , ~ :4 , " u,.•,s,.-- , . . . . . . i ~ , i . . ~ . . _ . ~ ~ . . ; ~ . . ; j . ! fUATHER CERTlFlf that ! witl aanply with all otha~ r~quiraments of a Ip~) re~d~nt ~of thls Sht~. ~ f ~ ~ ~ ' . . ~ . : - ; ~ 1 FURTNER CERTlFY that t hsve na lntenfton to ratum to my former domWls, snd 1 Int~nd, ~o rorttiain~ in FORT , ~ , ~ PIEitCE, SAiNT LUCiE CDUNTY, FIORIDA, parmanent{y. , ~ , ~ _ ~ ; ~ ~ - ~ `~t!"~T ~r ~ ~ ~ ~ Wiiiiam Saith itte r ~ - ~ ~ t- ~ ~ - '1 S~~ •~'f!*.~.'~ (Nar~'°) . . : ~ ~ . . s . ~ . ~ . . • ~ ` t~~, ' ~ , ~ ~ 3816 Ridgehaven Rd. . - ~ r ~ . - . . _ ~ , ~ r ' G4ddrass) _ ~ ` ~ ~ ~'•••:.~I"..•••'~ ~ . . . _ t~ E t~ ~ 14th December ' ~ 6a . Sworn to ar~d subscribed befor~ me tt~i: day of ~19 _ t ~ • - . . . ~ ~ . . ~ ' ~ ~ • ~ 1 _ t ~ . . . . . - ~ ~ . ' ~ . . : - . • . t'~IRK CHtCUIT COt1~T ~ . , . ~ t~aryr. Publk , _ _ ~ _ t'~/ '.~t i~• , - _ . - D.C. My Commlubn sxplrst : ~ " ~ ~ . : . . ~ R~1~~ ~ ~Q5 i~Atr ~~#7 ~ _ ~ Ro b. a~a~d ~ d~piieM~ ~d ~r~wMi f~d ~ Cl+~c Cina~M Cowt, a~d ~ w~ Taat A~a . ~ , , . . _ - 3- _ - . > ~ _ . _ s ~