HomeMy WebLinkAbout0416Q ~ • i~w air -..~ ~~.. ~ ~ - -- - ~ . -
This b mI- dedarstka~ o! DamicW -and C1ti~iA ~ tLe State of that I sm ~ this ~Y ~
aooosdance, and in coniornlity with ~+-P~ ~, ~~ ~ "I'7' Fiacida Sts
o! Ql~~'•"" Tannease~
I was lormerh- s la~al resident ~aa) - (sow)
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30b__~A~ St. S.__E.~___-_____~---T.___. However, I haw changed my
tad I realsl~i at---- --- ---.---_ ..-..--- -~-
4$tey«t acid 1~Iotabse)
------•-__vay o:
to and am and have been a bons tide resident of the State o! FlorWs riaoe-----.---='-----------
_~ __ _ ab _, .......:.t_ .. 6611 =. 41st St. __ __.
iiV~61r~iu• M _, J~ . MNY • avw.r. ~--_-^_____. ~ and ~~~
~~03't Pitraa ------ ~t•L»Oi• r..._~_County, irioritia,
-----------_---- (db) sctnai >esa raddenoe and do>enidle in
and this statement is to be taken as my declarstioa o! dtlsaaoship,
the 34te o! Florida.
(Ittas:t berg ao~l vertS>.eat _~ s»eb as .al.~~_ y~~~ ~ ~ ~~ a~ ~t st
former domka. rev e[ faadb to new k~•
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S;.LJCIE COUN
I FURTHER CERTIFY that I will rester at tmy~loc~1*~dd ~at when the re~Istration books reopen.
and comply with all other requiremenia or a .~aa. apo.u~ia.- ~- ---
tnsi. T ' w:» ~ ~ `~ rats:rn t~ my loaner domicue, and i u,~:u ~, :o.:»u
I FUR 1 ~tiER C"r~RTiFY ~ ~.: a ro
Fort Pierae ____~_ St. Lnaie _____County. Florida,
m--------------------- -------
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permanently. L ~ _ _r___
g• T. I,ediord
Sworn to sad subscribed before ms this-~-_-daY of
(sed:..s)
____~,T~i~e1~L__- A. D. 19~.
Lei!-'_-S[_ -~7_-~--
- - -- o~asr Ynblie State at Fars.
My Commission aspires--- 6/81/dS
(To be e~teeoted is dunlieab asd aidwai ttia~ wkh G7eet C.etit. sad d~ytta~te wtti- ~ Aasreor)
Bowes aopDtl n•. ptaat Clq. Tta.