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ST. !. COINiT1. FLA.
Declaration of icile and Citizenship
TO THl~ 8TAT>y AND COUNTY TA8 A88>f8808.
ST. I,QCIE COUNTY. FLOjtIDA:
This is my declaration of Domici3s and Cltisenahip in the state of Florida that I am Thins this say in
accordance. and in conformity with Chapter 282, Section 222.1?, Florida Statutes.
I wss iarmerl;- a ~l resideat of ~~ __ _______-. -- ~0---- ---~___
(Ctb) (~)
and I resided at____---638 Y~lohe! 1-~~nw_ •----•------------- --_--. ?;owever, I havo ching~ed my damnicile
lStewt gad Noab~s)
to and am and have been a bona Tide t+esWent of the State of Florida since---------- ~~1t~----_----.-._--__.-day of
A__ wtft~mber .., 60 .,., a T _,._:.a_ .. t 117. 1~wweh Awe nne . River Psrk
- (Str~rt sad Nnsbr)
~_ lort Pie~o• __~ ___ 8t. Lttof~ ___County, Florida.
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and this statement is to be taken as my decLration of dtise®ship, act~ul less! residence and domicile in
the State of Florida.
(t1nNrt bar w wit lasts, snob as ~a3r d~ yroy~rt rs bwia~. a< srlieari~eL o~ ~D1o7ar1t st
tars~r daaidis. ~a1 d lat~ib m ns~w do~sMW. a[ bwnr ems.) _
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Si• LUCIE COUNTY, FCGn:,iA
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I FUBTHEB CF.Ii'1ZP'Y that I wlll register at my local address when the resistration books reopen,
and comply with aU other reanirements of a less! resident of this State.
i r'usii'r~it ww~;;ru'x tbai i aavo rw inisn~u ~ sec~icu w ~ ,u~..rorr ~wu..;.~.+. ~.....~..~ r., ~a.:.:...
~ lout Pioro• ____~ 8t i• Conaty~ Florida.
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(~ iii` .ate~webi~ ;!w",~;~ el Iliad wl~ ~k t~wk Cwt!. asi dseifpq ~riti 11es Aeewor)
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