HomeMy WebLinkAbout1350- ~ ~ ~`
.., ~ e.C c .. ,,°
Dec~±~l#i~n o~_ . oad Citiu~sh~p ~ ~ . .
To T~ srw~ ~ oourrrs Tis •
e?. LIIQTi _ ~ ;
This b nU- deelaeation of Dooeioitis sad is the Blab of lfoeida tlrt I am ~ Ibis dwr in
aooordanoe. and in oontoamits with Chapter >~ 8satioq 91~.>17~ Florida Sbtiuuhs.
I ..a ia~sly a legal rssides-t ~ _~e
~ ,--~ ~ it~l ice)
and I resided at-__--_-------____._ .___.._..~.~__-__-. Ho~-.:a, I 1~ w'ta~ed my doaticUe
i&ewt a>!d NanMe)
a„ a,..t ..,~ ,.~wii hww hwwtl s honor lids alt Q~ 4tafi~ of ~lnrtrl~ riwna_ .''dZ'~l. -- day of
--------- 80Y1;YB1~l _~-w~ ., I8 ~ .~ i rxf=•y e~ 191 lt~r~J~ae ~~~. - - __-----------------
cst~.t w Na~•ei ~:
---- ~"~' ~ PIEl~4~ , ..--..-_Si._ ICI= -....-Conab~. P7orida.
teal
and this statement is to be takr:= as my decLratioa of citizenship. actual legal residence and domicile in
the State of Florida.
((InNrt bar. w partiwnt !gets, web aa• gab d or bdi>~... or r~Wwoi.L>..at a[ enyio>>o~t .t
fo>t~r doatkilw ~metoal a~ tsasib to new dom~laiM. p~ of bow. ~e~.)
9195
before me this_~___day os
~.
- . ,~:.:
.. - ~ --~ - ~ ate- -
4'
,,
~'~~,, ar.~i u~r,~ - .,~'-
T LRIDTLIT. A !~_T. AmiL~V i>j.e~ T will rooi.tort ~t my l~gl sddresa when the registration books reopen,
and wmply with all other requirements of a legal resident of this State.
I FURTHER CERTIFY that I hive no intention to return to my former domicile- and I intend to remain
in_~2,~_~~E_____-. -~__~_`_____, - A~R".~--LIICIZ---- --County, Florida,
(cats)
`~"""" cxs.)
'..
- ~$1i~~Qr~ttl:~d(
.~ ~ ~ ~,
...
K
:a.: J. .l1 _.., ~ .: ~... f
ROGER POITRAS. CLtKI(~
ST. LUCIE COUNT, FLORIQA
FlL AND RECORDED
M~~~~~UI
A. D. 18....61.
CI2'~CQI4
____ R~ ?~~1R ---
(Addrsss)
• ~~
(To be eseevt+a in dayliats gad oriRbNi ~~~d/~irltl Qark Clraait Ceort. gad da~tieate with 11a: ~aMtaoe)
Rnt-pn BUDDI7 (~0.. pllnt ~t7• ~' `!/