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Declorotio~TO~~~~~d Citizenship
TO TS8 STATId AND COUNTY TA8 A38B,St30A.
8t. Lwai~. COUNTY, FT.ORIDA:
This fie my declaration of Doosidk and (Ytlsanship in the State of Florida that I am ~ this day in
accordance, and in conformity with Chapter 282. Section 222.1?, Florida Statutes.
I was foemerly a k2a1 resident of Br~l.~r3L~_________._________ ------, _.~mao#.font---------
tCt4) (Mete)
and I resided at___--_ __~>:__g~_$t~at _ fi.t~s,pp___-________--_-.__-. However, I have chaa~ed my domicile
to and em and have been a bona llde resident of the State of Florlds since--------- -----~----------- ----------day of
~h*~,p.... 8onte 8
_______- ~ 1CMYR PF~_~_ _-______~____
tetret a~ umber)
- ~~_~~rQn _, 8~____~____--------__County, Florida,
((hb)
and this statement is to be taken as my declaration of dtisenahip, actual 1e2a1 residence sad domicile in
the State of Florida.
((Lwrt bare eny p~rt~Wnt taa4, such a. ~a3e of os bnsiows. or rsliogni~bmeut o~ emylorm~at at
format domidl~ rsmo~al a~ tamils to tmw doaieW. ~axuess a~ boos. sts.)
~ppplying 1'or hoasstead
91306
FlLE~ dND AF,CpRDED
K~ ~ BOCK
I96! JA 12:54
11 }~ ..
~ . 1 s7L
~. ~_
fT~GctY f OITRAS, Clf''K
ST. IUCIE COUNTY, FIOKi~A
.~
I Fi1ItTIiEB CEIt:IFY that I wi31 resister at salt local s when the rastatitation books reo~t,
a~ CQn1~Aly wits! ltii OLizzr reQt:2r::.:. ~s..i ro...:.~. :.:::. ::.
I FURTHNPZ CE~TIP'Sl that I haw m inteatba to return to mlr tcrtner doffiidle, and I intend to r+emafn
~ lbrt „p,~erc• _t7oanty, Florida,
c~taz..~ -~--~'
ti
8wacn is and sub~sfbed b~~oe+e me this.~...!_d~y d ~ . -''~••``~T I'~~.~~^_.'- "
~:,;-F Uv ..... ~ ~ ,
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Jaeaaa2'~ 1~I ' -;ram.` ~cy~~~` ~•~>` f .
t r a .1aiF1R , _ "~~~,
>i~er Poitrea, C~rT~ -o~C+Z resit Court . ~' ~ ~; -!~-~~ ~y -~
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(91r be aosssbd d +hO3issle pd ws~ihal »si wMi i~lr D7~ psttf. std with ilss Asseosee)
ir1w~ agN7 CM. ltirt Ckl. ~.