HomeMy WebLinkAbout0037- - S~. llIGE ~OiIMtT. ~. ` ? t
Q.~;loro of Domicile ood Citisonship
TO TB>l; STATE AND COUNTY TAZ A~O~t.
~. Lrois OQUI~IT't. Y'LOAtpi-s
This L m,F deelaratbn o[ Dcesidia and Clti.easlip is tM Sots of Floeida that I am !ilia: this day in
acoordanoe. and is oontormi~ w-itb Chspttr ~, 8aetiai 9>Z4.1T, Fio~rida Statutes.
I was ioe~ • iepl resident d--.~!~otsill~a~Sl -•.-. -- ~orj[------
and I resided at_---_90-0~$;6~ Plae~.~yl~Dl_~r~.ll~ lloa-srer. I have chanted aU- do®nicik
tMawt and ~ir~t~her)
w and am sad cave Dean a ieoa~a hide rssi~=sni~ d uw sr.~ ~.;~i~.r:~_-------r~-----------------=_=---deg rt
__>~L~t _._._, l9..._~ and I i+edae. at. ~• ~- - lSsid Street; ._
(Seswt awd No~b~e3 ~ -
ler~ Piaret St, I.~e~~
__.C8u8t,Y. ~.
tGb) - .
sad this statement is to bs taken as my deeLtetiaa ci citiataship. aetual lose! residwes and domicile iA
the State of P7ori<le.
((Inw~t 1~ ae~ perti~wt taoRs„ ewi as tai d as Dasiw~. ee tuMat d ~7a~0 st
tosaw~ rev 1 ~- t~ ~ d h~ eee.)
- Appl~iag !or haatatetsi
•~``~ 1S_ .rer~.
• ,. `
~~'~fint ,.~•''•
7~8
FiLEO AND RECORDED
'' OOK
IN
1961 JAN -3 PM I: 09
RO`uCI~ COUNR'1. FLOKIJA
S
I F'IJIiTHEB (~iTiF'Y that I wiU s~stat aR m71oea1 address when the rssNt:stlas bogie ~~.
and r e-!*.l: s'l ether r~+ts d a ~ ~ d tAia 8bat~ _.
t ~rra*~R c~~t that i haw ne inbeediaa do reitu;n to ~ . and I intend to remsin •
in.__ host Pisera~ _ _ ~ $t. 01• .~. Coaat~ Florida.
-. tam .*''-
. cli~er. ~
~.
8w~0e'A to a1d #~ ~! 1DR _d ~ i¢~ R ~ ~.~- ~,
~e-r P~itsaa, ~~~J.~e JY~~bO~~ ~ .1/ t ~~ ~ a it~ ~ ~' _.. . _ _ _
.. iier !' f•,. ,...
('lti it e~eeplM ~ Vii:-~ t,~llit Qwet, n~ ~rw~ee0e ei~'~S ~Mles~l')
a.... sreeU a. fink cul. sr. ~ ,