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Qeclarotion .off' ~'~! Cifisenship .
TO T8$ 3TA1'& AND DOUNTY TAY A88~$801i.
Ssint Luoie OOUNTYe 1~ORIDA:
This is my declars~oa o! Doenidle sad whip is the 8tata of Floetds that I am S1h-g this day in
accordance, and in conlormity with Chapter 228, 8eelloa 888.2.7, Florida Status.
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I was lcemerly a legal resideat o!_______H=«1~1~-11«A a~telten ~ _ _ pOan,~_-__~
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anal I resided az_--------~-~8i!~S.l~f!8II«?~lfl~-«_-- ------------------_-_--. However. I have chaaFed my domicile
(fittest aa+d Nuabsr)
to and am anal havw haws ,. Mns A.ie- ww.i.is..a ..~ ati. tJt•~t,.+ ..* >*w...s.a. .,r«,,. 1 Atli y
- _.. ..'-«x. aa~sv iLf~~iiLi:V ~/i 1ra~v +~tiii'~ 4i •~Ya 1VY1 Wi1V~i-._-----.'~~ -° ^^''
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--".--"-, ~.. , o 'mss a a vo~wv o ~_--•--«.-«- - «« - - - - - - ...
(Slrvst aad Nataber) « .~
_____-__-Fort Pierce St.I•ucis ~`-~~,~ Florida,
and this statement is to be taken as my dedaratioa o! dtiseeahiP. sctnal legal residence and domicile in
the State of Florida.
(Lssvrt Isere awr pvrtinvat facts, sneh as sa3s_ adyropsrt or bnai~asaa.,o~~t ad ssylo7m~at at
fomsvr doasieW. rvmo~a> of lamit~ to new domle~e.
Purcheaed a new ~-o4e
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I FURTHER CERTIFY that I will reQiater at mp local address when the registration hooka reop_ en,
anri rnLnniy vgith a!! 4th8r r'Efjl212'r^`.~°...to a1 a 3es l .ooida;,t o! this -Qitiatc.
I FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend to remain
~-----------Fort ~Pi era a-------------------------------, _ _ St Loci e-------------~~, Florida,
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ame)
Le.np.~ld__N~ia~---- -------------------
3worn to and subscribed before me this_-_-- 9____dsy o! ~ ` "~ .' ~~ (•A~""~~)
Jennery A. D. 19 81-. ='~ J`..'' ~ ! ~ ;=`
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Pablie State c~ li'>osida at Ltrs - ~' ~' ~ ,'" -
Jen 1~, 1944 .~" ~,~~:, . --
%y COmmisaion ezpires._._ ~ ,, .~•i,,s%,~' r,~ ~~~ ..~
(7b by a:vented b dnDlieats and orl~ina> filed wills Curt Cireuk Court. sad dupikats wills Tas Aesvseor)
Bowen IiuDDb Co., Plant Clq, 17a.
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