HomeMy WebLinkAbout1686~~K 3 409
Declaration o~T uciE~ci~e and' Citizenship
TO THE STATE AND COUNTY TAB ASSSSSOx,
int t~±~1 a OOUNTY. -P'LOftIDA:
Thin is my declaration of Domidb and Citicenahip in the State of Florida that I am !fling this day in
accordance, and in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal reiidea~t o!_-___:~'2~te_o1L__-- ----------__-- __-, ____-_____.~~~a.t.------
(CIl1? tf3tats)
and I resided at____---._-- -R-_ a!---__~-~__------•--__-----------------------__-. however, I have chai-2ed my domicile
(Stewt sad Nmstber) -
to and am and have been a bona llde resident of the State of Florida since --------------lot----------------_day of
`-- _~b.._____-_____-_ 19-_.81 and I reside at-' ~ _ Herman Goina ___Rt _4__Boz _ 455---__---
--------- -
- --- ' • (f3trsst :na xumb.r)
d
Fort__P~eroe________--- ___-- __-. ---_---- st.Iali~is._-___:~____-__--County. Florida,
_ (ciao
and this statement is to be taken sa my declaration of dtizenahip, actual legal residence and domicile in
the State of Florida. -
(loaert bars and ysrtinsnt facts. such as sob o~ parts y ~ ~~o~r~lin9ui,tbmont of omploymont at
former domicils. rsmo~al a~ lamilp to new domidls. D rellan
Entering Zslda Ruth Yette in the 2nd grade.
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FILED ANO RECOROEO
IN - - ~~O~JK
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IQ6; ~ EE -7 AID 10: OS
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RO 6 r R ~ Ftuv;6 A
$T Luce Cou~7y nn __
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I FURTHER CERTIFY that I will register at my local address when the registration hooka reopen,
and comply with all other requirements o! a legal resident of this State.
_n_ _~ T t-~..--7 ~.. w
I FURTHER CERTIFY that I have no intention io reiurn io any former dvmic„c, auu = .==w..u =.. =~:~u.
Fort Pierce _ St .Lucie ______ __County, Florida,
- (c~til _
permanently. ~
---~- - --CCNaaw) ------------------------- -
5amuel L. Yetta
------- -----------------------------------------------
(wadreaa~
Sworn to and subscribed before me this___2___-____day of
February _ A. D. 19- 61
a--~C.-~ ~v~t~ __------
-- -------------------------------------------------
Notarr Public 8tste of FlorWa at Ids
My Commission expis+es__-__ Jan 15z 1961 _
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- 1, ~ ~ '.i~ '' C•
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(To be ezteuted in dnplicab and original filed with Clsrh Cireuit.~om~,~ i
Bowen BupDl7 L-~., F'Lnt Ctit~, FIB.
with Tas Assessor)
P aai~ `~" tea- ~~~.._ iii ~~`~ --...