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Ir~K ~a Otie~ ~ Jr~.
. - , , T. LUCiE COUNT~I. •
-Declar~kr~a~l'o~ tfanKite vnd Cit~et~bip
To ~$ aTSTS exD ootn~rx. Tai o~. - ~ •
8'!. ICI! _ mn*r~'+r. ~: -
7~is is ~ deeLrl-tioa a[ Damfdl~ a~wi is tho State o! llaeWs tbst I aan llt6~ tbia dad in
_ ~ -
aocordsnoe. sad in eautormity wit4' t~sp~ae 8t9, 8~ation ~S.1T,1~grkL S~atetM:
. ,
I was iaemer>ry s l~l resat: of r. ~~ j~ Imo, ~ TOYt
(~) ~ (~)
sad I resided st.._._4~r~~rR~ieane ~ ` _... However.I bstrs clsaaded mr domk~le
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' tii4wt r8 ti~1~s)
- ~ -'- ___„--. =s ..__ •rl-..~~- -~ ~ --. dap of
' - = n~~
to and am sad have peon s o~ iroa se~~aeo~ va wa yN~ ~ •~.~+~:~+ =i~------.-_-__--_---_-.. .
---- J'-"--1ai' ----- ~ .-. 19~L, ~ aaa I redda a` i7 a a. 1i s~.
_ lent rs.rie ~ -. - ~- ~i~ ....._Couaty. PSoarlda.
~a~~ -
and this statement is to be talssa as m~ dec}arstiao o! dtlseaship, aetnal l~al residsnos and do®idle in _
the State of Florida. ~ _
((In,.rt L,r, aaT p.rtiaat isets. wei a. ,~1s d a Do~MS. ~ ~i,Lwt d w~lorawst ~
to:mr do®ieti,. r,mor~l .[ laasib to, ~ doaak~ Dazed a~ 1aiw: Abe.)
.,
• ..
=iteriss ~rN •>I~ilases id ptl•lie •e~el•
3;• Res• Patrisl~ Oase _ ~ . .
w T~ ~~ T . Aw~~
~ a+~~a • ~r,~ vav~
;f. Si~ot>~ =,iohael Oaa• .. ..
lltr. Cas• iste~aoi~ t~• twin in lert
~rssident i! he ens lied r-plo7seat.
ll,.tuu~ir~
{~ •.
/i,.l j,l::tll~l~1
Pierce •e a -~i~as periasest
F!! FD A D RECQRt~O
IN ...._.__ .._'_ K
- ~ 1961 fE8 -2 AM ~ ~~ 26
RQGER POITRAS. Cl~""
Si. LUCIE COUNTY, FI,Ua
I FURTHER CERTIFY that I will register at my local address when the registration books reopen.
14 .wr;Yi~ ~±1, Ah nt}tpr requirements of a legal resident of this State. .
I FURTHER CERTIFY that I have to intention to return to m~+ former domicile, and I intend to remain
_Sort Piedras 8t. Lnoie _Couaty. Florida.
lpermanently. ------ (ab) - ~GZ t~Z-- ~___.
(Nw)
Bose Caee; Jr.
Sworn to and sub~r
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]~ Commi88iOS ; r - .~
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Fln..-.•n 8u DD17 (~O. PhDt ~t~• ~~'
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A. D. ~9.~...
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S1~ w~tti Qrlk ~lYi•r C~i111~. sad wjth 'h= At,~M,l~