HomeMy WebLinkAbout04066c ~ rldltsr ~-bsr
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~~'~ ~Ni~, F~eClq~otion o~ Domicile and Citizenship
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TI~ Tfi~~BTATS AND OOUNTY TAY a'~81~0~'
8t . Leo ie gpUN'1'Y. ~'LOl1LIDA:
This is my dechratfao ai Doauidle and Citlsenship in the State of Florida that I am dlita~ this day in
acoo~rdanoe. and in coniaramity with Chapter Z>!~, Seatlon lt88.17, P'ioadda State-tes.
I waa faemerlY a k~ai resida-t of Bil~sr 8p]cing _--. -- (SSsa) ~'-----
_ tcta)
e., ~ ~,,:.._.,. a,.. tn~e ~~ _ However, I have tny~domicile
end 11~fskd st___vsiv s__~~ __v.±s 4..... ,~.~,.._- - ----------------. .
.-• --- .tea i~m~,zl _
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to and am gaud have been a bona llde resident Ot the State of Fiorida since-------- ~?~ .~-•-------------------
iiaroh wt ~ n~,~ P7A~__ I~lswwsi~~rlc-_--
_~, 18'0 , and I areaide at r--• -~-~~-----~----(S~t and Nosba)
__ Port Pieroe : ~
(Q~)
and thin statement is to be taken as my declaration of dtissnship. actual le~-1 resideauoe and donuiaile in
the state o! Fbrida.
(Insert bar. w patient taets..neb- ~ sale at yert os bosineea. os r'Ot ad .~>~ ~
terser 3oskilw reso~al od tasi4 to new domaidM. a~ bore, Abe.)
Purohaaed a new ho4e
91.32'7
FI~EO AND RECORDED
INi
195': JAH 10 aM 11:18
tc~tit~t POI~TRAS~ ~~'`f ^';
Si. IUCCE COUNjY. F~~ A
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I FURTIiB,R- CIyATIFY I will register at my 14csi add><ess wbean the remration books rsaPen.
gaud comply with aD other requireaxients aot a ~sl :+esidaat opt .this State.
I P that.i leave no inzeation iQ retaaurn m aq aoararaear avea~es, +,+~• a ••••~ w ••..-.»
ss P4s ~ ~.ier os---- ~ Qt . Lea ie _Co~mt,-. l~eid.~
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~altdr ?. be~i1
tD and subrrribad bataa+e ms this.- i4 d~,y_ ai ~~-~~u,uw3,,,:;, ~,'
"'~'~- lri~s fills Male' ei pMeiin eat Lals ~ = ~ ~ ~ r
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~ Cammisd~aa ~,,,_,.. ~aa_,IS. 964 .~. ';'•;~i,,;~~4~,:r --
~ ~ ea<e~sle~ fa ~ aa,d . ltei wilt Q~eh
s.••• era cap. 1Pl~rot ~. ne.
~lt`eq wltf'lUas ~ateeewe)
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