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S ~LUCI~ --.-
Declaroti0ll Ot TVOI~I~~T a~CitiZOnil~ip
zoo THE sTSTS AP1D WUI~1'1'Y Tint ASB1'1~103t.
sr. Boa o~urrrar, >~,o~s:
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This b aoa- declaratioa of Domidl. and (~Seas>sip is the Btaa of l~loeWs t>irt I am ~s tLia ay- in
acoordanoe. and in e~aiormity with Chapter 8>i8, Section Yi8.1T. P1w~da Statates.
I was laeaees'ly a l~ resident of ~~ ~ g
i..w ~a~Mibl~ ~1r--___----!'~t_T_7C>.--~~=it~uirY~, ~iT ~i.~:.~~----.~..- ...-.~ ia0w~er~ ~ i~~Ve e ~ WYiRia.a
(~ sad ) .
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to and am and nave been a bona dde resident os the State of Fjorlda aiaoe-- - - ~~~.---~___._.~_d.y o!
------_sepLs=ber . 19..~ and I resLle at 100b ~. 4th ~. --__----
,_...___._______ (8~q toad Nna~bes)
fort Piesos Bt.Luoie
--------.--- (ab) -' ----may. P7orida.
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and this statement is to be taken sa my declaration of dtiseaship, actual laesl reddenoe and domidle in
the State of P7orida.
for~.r ~ ~ toto ~ do~tiew. pa~u~i ot~~i/s~ a[ ~splors~at ~t
f - -- ...
91919
FllEO ANU RECORDED
INQ~~`_900K
1961 JAN 30 AM i I: 49
ROGER FOITRAS. Cl[EK
ET. LUCIE COUNIY, FLOE-::~~-~~
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I FURTIiER CERTIFY that I will re~ieter at my local addreaa when the re~iatration boolca reopen,
xna cum~»v w.~n su Diner rwwreiueraa ui A iC!(Ol rosauesuo ua 1r.asr oww.
I FURTHER CERTIFY that I have no intention to return to rqI- Fortner domicile, and I intend to remain
~ wort---Pierce -- - ~ ~~ _ St~.7~L~uc~ie ~~~-~-~Ot1~ty. P9orida,
Robert Boedmen ~io~i)erdaon
Sworn to and subscribed before me this__day of
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ctss PnbZie Sp_ t~ ~ ~ ' ~ ~
lldy Commission _ •a 4~ . ~ ~~
(waar.e.)
(To b. ezeettt.d b dn~~'i Sled wkh Clwic (~reait Ceart, txsa dttolkate with Tas A~sinaer)
tinww ttaoab Co., Plant Ct4. tta. ~~~~"~"~'~~~`,