HomeMy WebLinkAbout0354Declaration of Iii~~~itizenship
TO ThL STATIS AND COUNTY TA% A881~8808.
S1'.I~CIS - OOUNTY. FIARIDA:
Thai b my dacla:ation of Damidle and ptisenahip in the State of Florida that I am l11ia~ this day in
accordance, and in conformity with Chapter 222, Section 222.17, Florida Statutes.
I wan ioemer>ty a legal resident of __--~ OjLIGE - --_----- IOaWJ3RSEZ --------
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(t~itf) -(8~)
and I resided at-_-_-al .Pil~,Q~_Plsaa--_-- -------------------___-. however, I have chanced my domicile
mad N~T~i
to and sm and have been a bona sde resident of the State of Florida since--------------89 ...---- - ----____---day of
-------- ~~ii-~s~c.~.s- , 18 ~0 , and i reside at.__.-s~~~~~ ~~~~'R~ ---------------
(8trwt and Nnmber)
s or I+ r into • ~ ~ 8t . luo 1 i --_County, Florida,
--- ccxs~~ _, ____. __.-__ _--
and thin statement is to be tslcen as my dedaration of dtizenahip, actual legal residence and domicile in
the State o! Florida.
io ~rrt d~osiidl~e, ~ toot f~amib ~ ~ domafe~e. Daxlaa~e os.er~r~lingniabm~at a~ amplo~m~st at
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II C(1 AAIn grnn~o~.
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195! J11N -9 AM 10: 50
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IZ+JIVLtt F'01 i'Ct~~, ;;tr"Y
ST. LUCIE COUNTY, FIOkiUA~
I FURTHER CERTIFY that I will register at my local address when the registration books reopen,
and c~nply wltb all otter regnhwtnents o2 s legal resident of thin State.
I FURTHER CEIifiIFY t'rat I have ao intention to return to my former domicile, sad I intend to remain
~ Eort Piero• _~ 8t.I,noie County, Florida,
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permaneenW-.
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f1M whi pNk pewit ptaeR end d~lfeata wlt>< 31~ Ilreror)
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