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0407
Declarot~or~ TU T88 STATE AND t70IJl~i'!'! TA! A88~0~ gt.L~oie ~OVi~l'1'Y. llAxIDA: ~ucl ws De~rtla+~. ~i#ize~ip Thb ~ m7 declaratiion of Dotmiei~s and (whip is the State of 1~loeida that I tun fllfnt this daT in aeeoadanoe, and in eoattoamity with Chapter 2t2, Seetion 8.17, Florida 3tatntes. rsideadt ~ I.•ke Arieo P• I ww! t a ie•s1 tom) -----.------. - - t>~a) ~_ .:~. sad I resided at___-.--R._D..------~-~3--- ------ ___..----------_. Ho~-ever, I bsve -- --' u~~.~ tscra~c ~ xttttt~) 11th •~ ~~a lafiYM YOWL L, a,7 t.l • I «~ Q~.: .~.-'^I ii7n.id! 1i11w1 _ ...______~___-_~ Of W And am sad ~ w~ •iiiY iYiwvi+.. w ....~. ~ •~ . i'ictobttg ~ . ;o~i~:.n;:: ruses sw Sid draie~ A~e~ --- - --- (DtewR sad Na>rD~e) lrt . Pi era a St o i e __Ctwnty, Florida, -- tc~a) And this statement is to be taken tsa my declsratioo of citit~ahip, actual le~sl reddeanos sad de®icile in the State of Florida. ((Ina.:c hers aas ~ertia~et tads. web as ,a3~~7 a d.°iee~t of ~ploss~st ~t foraMr doaidlw seaw'w1 oat tamib to new 1rN Purohassd • asw home -,r+~ •z!7f~ JrL~+- - F~L.E~ AND R ~ORDED it-~~~-~~u~~n lay! ~- ;P! I 0 ~, I I : ?.3 J , 2 ~~1T~~A~.'..~"~ $ i. IUCIE COUNTY. FC~ A ...i.,,i:,._ . `.. ` ,~ .; ::,. ;~ ~ ~ - __ cnroTLrcD r~u~tTi`V +hnt i wi11 reorlater :t my local address when the re•istratiOts hooka reopen. i a~ Uaraai~+ ~ sit, o~~a,s and comply with all other requirements of a~iegsi ii.sid6u~ of ...~ :.r=:... I FURTHER CERTIFY that I I:ave no intention to return to my former domicile, and I intend to remain Fort Pieroe - St cis _~~~ Fl~~ tab) pertnwnently. ~---="~--~ -- --------------- B~arl ~-. Bartow ) ---- ---~+ (Adiew) Sworn to and subscribed before me this-- ----di7 of ' c • ~ ,' j.'-` ~"%, ; .'~ ~ ~ ~ > ~----- . A. D. 193. _ .,• ,,~ -~. ~_~Oar>I ~a eDT ~ at. I~tra ~ , •~ ' i' ~- .. `c _ - Commission ezpires-- Je n 13;- 1964 `qtr -~: ` ~ ` ~ ~ ~ ~ - My .... ~, „ • '. (To b. a:eeutnd hI duplkab and ori~tnal lENd wftb Qtsb Crook~t'1iw>i. std dttPlieata wj<ti glez •waaos) Sot+ea BuDDU r©. Plsnt t~lq, lIsl. ~~ t