HomeMy WebLinkAbout1632~~~ 3 352
Declorotion of Qo~siriteu~tnd~Citizenship -
To TH$ sTeTS AMID oovrrr~ TaZ e88S88o8,
ar, z>sois oovl~r, IZOI~s:
This i. av deelantion of Domidls and yip is the State of Florida that I am Suns this day in
accardanos, and in ooniormity with Chapter 888, 9ectiou 288.17, Florida 3tatntes.
I wss focanerly a le8al resident os ~I. ~• ._________
`s/A~ ~y (C14) tStat~)
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to and am snd have been a bona sde reside~-t os the State of Florida ainoe_~_._4th---------------------------d,y of
110 , 18 ~~. ~ I re~i3e at ~+~ ".~t°.sar ~_ -----___-._
(8tewt sad Numb)
~'t. Pisro• - at.Lnaie _ -w.County, Florida.
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and this statement is to be taken as my declaration of dtisensh#p, actual 1e2s1 residence and domicile in
the 3bte of Florida.
i ~ doa~ietN to[ ~ to aaw~do~tefN. 1~w d ~iee~ o~ eadploym~at at
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fit ANO R d
IN ~ ~ 600K
19 fE8 -6 AM II: 49
ROGER POITRAS, CLERK
I p'UBTSFB COY that I wll! register st aU- local address when tbs remration books reopen,
and ooh with ati ether regnirereab a[ a lesal resident ad #>sfs 8tiabs.
I FtTBTSSR C1i8iTlFY tbet I >~re no i~ndoa to retnra do set tersbee domialls. a~ I intend to rw~n:in
~ 7T. PIERCZ ,~'- LQOIIE
p (Qb) Comit7-. Vida,
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