HomeMy WebLinkAbout1638~ ~~ ~ ~~ ~ •
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D~loratio~ o~T ucr~ t on~, i , .-
C hse:>~ip
TO THg BTATS AND OOUN'i'Y ~ Ai~t3~138Q-p, - - _ .
This b 1V d~etaTStiaa Ot{ DOat~ a1a (,~,~~ is the Btate opt Fiorjda that I am ~t this day in
accordance, and is coutaemiar .witL Qt.pteer 888, Seettop 888.17, Florida Statutes.
.~
I was facenerly a legal re~idant a[
cc~~ `Ya~lrls; -
,__..._,
a~ I resided at________•---$88$- (j~i~~~.`--- --~ _ However, I bane cban~ed mIr domicile
to and am and eve t~i!n a h~~ !fit :'~:~:..~ •.o y«.p ~,: R+ st~~e_~_--3~----~_~_r__ciay of
__ October ._, 19~, and I reside ac 1Z~ 9ela~ALSpne~ Pert St ~L~__
(ltrMt aoa Nnaber)
?eat p+aroe
ccus~ `-, .._""`St -----qty. .
and t6ie statement is to be taken u my declaration of dtisanahip, actual lesal reddenoe and domicile in
the State of Florida.
ttlasert .~:. a.:s ~.~~ iio:i. iocw ~..aiy~ i od io~N,~i1~t at s~Wo7awst at
iamrr dostetM, remo~d ad tasty to ~eew D~+e~
`~ppl~iag for haoteatsad
92138
fiLED ,0 RECORDED
IN OK
1961 f EB -6 PM I : 32
ROGER. PGITRAS. CIfRK
s" r'
~i:
~~
•-.
.~ • i •.a~ . .~
1 FURTHER CERTIFY that I will re~iater at my local address when the reQlatration books reopen,
and comply with ali other requirements of a iegai resident of this State.
I FURTHER CERTIFY that i havA „n intn,+K~,n ~.. w.±,y.~. •~ ..,.. ±o:..._.. a...»:..:~e ..a t j^tgn(i to :'amain
My WW YVYYVMV, ~YY a .l.
is F~#~__P.1.lll~~ ___.____-, _~ L ____._... _Connty, Florida,
permanently. (O1b~~ ~
(Wine)
_- ~ .1}eorge-l4-_~ibsoa _M_~__~~__
(wderee)
' ~ l
S\`~~~d subscr,~Oed'_heto~ OM~ day
E .. ~• •.~+t=~ D. 19
y
---- ~J°.,.~.- ~,
My ..
Commisaio~ .
,~ J'
\~ YNt~iY~.i! .~ ~ .!~' ^`^ ^~~ ViRi ~ vwiti ead doptt~ate wt~ •~a Ap~~
Rnw~w aOCNf ~. "~~•
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