HomeMy WebLinkAbout1351~b~~ 3 '70
s~IDM:i H. 0~8L80)rf .
Decl~rotion of Tb~o~m~'~i~e~ on~~' Citizenship
To TI3S sraTS wr1D E)oUNTY TaZ asa~ox.
ar. ~vais ano~1TY, 1rLO8IDa:
This ie my deelaralton a~ Domicile sad Cltts~eoehip in the State o! P'fodda that I am 1fHus thin day in
accordance, and in conformity with Chapter 888. Section 882.17, Florida Statntee.
I wss ioemerlr • ks:a1 resident of _ >R~,O~ittir 11 Xew ?or><
' (°'-!~?
t W~-)
_ __ ,.. _ f~__ _~ T --a-'e ~''~'.~~re.r~l w.g ~~Tf'1lPjk
and I resided a1~_----~Y'1___gSYr. ~wnui~ ^__. .~._..._~____~~_.. izu:v$~.F, a ....ti.. ___. -=--_
(8teret sad Narbss)
*n ..u1 am and have been a bona Sde resident o~ the State of I+7orida since---_---_~ ~~'i.----------------airy of -
__ >~se~er 18. ~, and I redds a~ 1_b07 OOrt~~. Are)~~ - , ---------
(~wt and l~loiatbee)
________~e1't Piece e- ~ ~~r ~ i • --County. Fbr~da.
(Clb)
and this statement is to be taken as iqy declaratiaa of dt3;emahip. actual le,8a1 residence and domicile in
the State of P1orWa.
((L»est >>ee~e sap ye:tiwst lae4, sne1, v sale of or bodasss. ee irliagoWuasot d es~lo7meaL at
tosses doeakile. semoTd a~ !a>sib to new daelefle. ~ ~d >tar. eM.)
FILE ~0 RE~COROED
~~ u ii,i ~
195: JA>~I 30 PP 2: 52
tiOGER POlTRAS. CIEP,K
ST. LUCIE COUNTY, FLOR~OA
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'~~~.r<<JCIF'~. ~`
i
I FUBTBER CERTIFY that I will ra8isteet at my local address whew the t~istsatian books reo~psa,
and cc~plT Mtb aU oTaer =equirwneatis of a ieeai ssiideas a~ i~ +t~te.
I FIT$THT~t C,SRTIFY that I have no iatentba tiu return to ~ lames damidle, and I intend to remain
~ ~~ pienee• o at.LR • Connty, Ffa:Wa,
per~en~• . ~ __
. sito~~- ~. ~ lac
to and ~~"u" ~~ 3At ~ I1friW:.)
fyr cA.~oa
a..M. seee+s a.. 1i+ba! o>a~
. ~e4ldrid tgat .w ~ arwtt oeo~. e4 ae# Tic •eeeuee)
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