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1905
~~~ 3. 63s Declaration - of Domicile and CitizenshipsT, IUCIE COUNTY, FLA. TO TH$ STATS AND OOUNTY TAZ A08. 8T. LD~OI= OOZJNl'Y. FLOIRIDA: This is ~ 8sciatstion of Dosoioils and Quip is tM State of Florida that I am ~ this day in aooozdanoe. aad is oooioemit~ witb Qupter ~r Section P~.1T, Florida 3ta~utes. I was iorseerlir a letai residso! c[~::~._. ~QI~S]L . _._.N~ .. - caws . caa~.) and I resided at__-_- ts~.ii~ _ -. However, I have changed my domicile (St~et~t eaa ~eawr~ _.~__-- _-- . to and am aad have been a bowl lids iesid~t at the State of Plor~a since--__ 1©th ______-- ----___day of ~- - ~? 19 ~ , and I reside a~ ~170~, 9onth ~L4a (Dl~+wt aad Noarbe) !T. PIEAQ= ~ - _~ 9r _ iacn ______,._Oonntly, Florida, «~~ - aad this statement is to be taken as aq- deoLraticn os dtisensbip,, actual l~sl residence sad domicils ~ in the State o! Florida. - (I> ~t psr~~t~ev~ to > ~Mageee. d ~i/~~abLmwt ad apio7~ at . ..~,,v~ ~...~.. ,,,.. ~~,'_ , -: _; J_ i :~ .. . ~l~~m aFM1RDED ' BOOK IN 1961 FE6 11 AM 10:13 ROGER P0ITRAS. CLERK ~, i ~iirr.L _~ -~~~ T ~ti_ ~ wry ~r ~A crs ~,. - ~~{~,~~ t_J...~ L • •__ ~.L ~, aL__ ~!-_~-~_ ~ ~~ "i',~i _w~. wlwf~ MI/~ ids t"` Dpi . f~ nisi ~a~a ai •vi~o~ a~•ul-mos..z 6i G ~~ ~ -.~.~.~ w ~~ I F'tJ$TB~B Y that ~ hone q~ ~:rtara ~o sq tosmsr domidle, and I intend to t+emaia is ~'i'- ,~i `_ tCr4-) ------~--+ Doonb. Florida, '~l! '+'F S~ m ~ a.~ ~ ~]Y....d~r a[' i' ~~. ~- ~' ~' ~: OeraR end wlth '~o~ ~leeeseee)