HomeMy WebLinkAbout0522' - -.
To TBS ST/!TS ~ COUNT'Y TAZ~ • - ~ -
This is m7 deciaratioa of Dppieil~ sed:(~teeehip in tDe Stub os P1o:ida that I saes lllint this ~ ~
accordance, sad in coa~tormity with (~apbr-888, Section 882.17. P'iorida: 8tatvtea
I was iocmerly • 1e2a1 resident +ot___._ ~tt~l~rRh _ ~ poIIas~lTat11~
(saes)
- - (dtv) -
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~,:.~ i F.;..:.-t~ nt____---_-TQl_~~ J-~~u~ - ----- ------ --- --_-_. However, t Have cnan~w m7 a~'~ .
to and am and have.been a bona lade. resident of the State of Florida since-------------------•-1 .------------day of
-_-- JnlT -_~., 19~~r and I reside at____'a'°~~'s ~ +'°- "`_`-`~`"• _____~__... ---
-------- •• (newt sud Ntta~b~z)~
Fort Pierce _ '- _ 8t• Lnoie _____. -.~_Count~-. Florida,
_.
-_________ cats)
and this a4tement is to be taken as my declaration of dtisenahip, aatwl. lee+al r'+sidenoe snd domicile in
the State of Fiorlda. ~ .
(Itwrt ~n anu- p.rtist-nt fate. t-tx~ as saL~_ _yroputx osba~ss~ ~e~~~°! ad ~Dios~t et
tormtr dosidN. r~moTa1 at lawib to mw few. ~arelt~w .
~ppl~ing for homeat~ed
.._-
I`EO p,NO R CO OEO
. F - 4QK
IN ••---"--~
o Ji~i`• ~ 2 Pty 4: 0~3 . .
~~QGER POl NRY fIOK"~A /
~ j +. lUC1E COU
ft~ilf::: f~:..
i F'i1RTHER CERTIFY that I will re¢ater at my local`addreea when the re~iatration hooka reopen,
- - -... ..-a.-!. ~-1 Wit.... ~.n%~.,iremnnt~ n~ ! ~Elal I~aldeIIt vi' 4tue -,wac. -
~Iltl Wl'll~Yl~ ii a0ia wU Vi..a..r -=y•.-~~-•-•_-••- _
I FURTHER CERTIFY the-t I have no intention to-return to my former domicile, and I intend to remain
Fort Piero e
~--------------------- cc~i
l~~~t1Y• .
Sworn to and subscribed before me this---~.-daY
St. Luoie -________r~-County, Florida.
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___.~___ iNast~) '
~drien Bl lCrsbs ~_______-. __
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----S~~tii1EY'f-_____-___ - ~ A. D. 191_. ~ : ,r•~'i f+.• .~: •a- . _
r poitras.~l~rY o2 Cironit Conn ~ ~ i;.,~=~ `~ ~=
(To ba ezaeat~d. is dt-~lkab t-ad ~a1 slid wttti ~t (~xait CAm'~ ;W/ , .
nn..a aaooh Ca. plant Clti•. TIC. ~ ,