HomeMy WebLinkAbout0269,1~ 316 - .
ST.IUC COUIITY. A.
' mici~e and citizenship .
t)eclarQlion of ~o
TO THE STATE AND OOUNTY TAR A88FSSOA,
sit. nvou aovrrrY. F3,oi~s:
This ~ any deciaratioe of Domidie and (Ytisenaleip is tha State of Florida that I-sm llling this day in
socordance, and is conformity with Chapter 222, Section 222.17, Florida Statutes.
- ~ was formerly a le2a] resider: of __~s~~l-i--~~ Ielen~_~, ~~__ alR"~l'Y--.---
ccxa) ~
,u,d I resided at__ ~~_ ~lst St . w--- --_---•-------------•__-. However, I have chanted my domidb
(cwt sad Nv~bos) - 3Qt:~ - _a~+ ?f
to and am and have been a bona aide resident of tine Stale ri urn --------------------- -- -- - -------- - ~.
•1~`at I9~4-.. a~ I reside at_._~4.,~-8. ='_4th St- - ----------__
- ibinss 1.0o a:~~%
Fort Pieros -
• ~ T~~.~___________- - ---- -----County. Florida,
_ _ -,
«xa~)
and this statement is to be taken as my declaratias, of dti:enahip, actual le~-l residence snd domicile in
the Sbt((e o! FlorkL. -
fo~ ~i ~. o ~~ to ~ dam. ~ o[osM.~i~e~ ad ~~ra~at wt
nA n~-rte
v~ii~ia}rv
~I C~ IYJ ~+(.li ~
I~' . _ - ._ _ ~_~~~K
;.
Si. LUCiE COUNTY, F~i,~,.~~H ~~
'', J''', r' ~, ~' ~ ~ ,'````` ``.
.;~1-
snd ~F ~i;7 ~ per requirements of a le~sl eresid~t o! this8 ~, hen the registration boolca reoDea,
z ~ r~~i icy ~Y that I have ~ ;rte::" ~ ~? z• ~ _'~~ dmnidk, snd I intend to reaasin
~ Ford Pieree $t.L~t01• _County, PSorWs.
(C~b) ~
p•
ue• 4r111,01xa..)
woca to and 11~~ ~•, -'1,a.~s #bis. ~ ._..dq- o[ (wddew)
commi:~ ~~-
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a.... e~+s ow, ~~ a:. e~..
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~1-.Nli ~ c..eR ..d igtia~t. wits r.~c ~ee.eeos)
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