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ib~i . 7, 329
Declaration o~ Domicile an~ Cifize~~!PiE-COUHTY, FlA.
0_....._ _ .
TO THE STATE AND COllNTY TAX ASSESSOR, I
ST. LUCIE COUNTY,- FLORIDA:
Thi8 ia my declaration of Domicile and Citiunahi9 in tha State of Florida that I am ftlin~ this day in
accordance, and in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a lei'al resident of.........uGIi~.~~QrT_~..mmm__um__u.___..__, -~_._9.~_._._.._
- (Clt7) (State)
and I resided at. 1827A<=.Cl~y..~:t;;.m'_"''''''h_''huu,__,_,,,, ..... However, I have cl1an('ed my domicile
(Stnet lAd Number) 1
to and am and have been a bona tide resident of the State of Florida since .m'_'~~"_''''''h.uum....,daY of
..Jf.R:r.L...u.muhhu.h__......'..h.' 19u.9J, and I reside aLh-l79.5LJ~.9~~..De~~_9F._~!'~.~Q._._.h_mu.._u,.
(Stre.t and Nwuber)
FT. PIERCE X ST. - LUCIE
h.. .u_.... no. . .h__h. U_,,'m. uu__._ _Uh...._..h______h.h..U.' hUhh. .......... ---__...hh.__hU_u._. .__.___ ..._.. County, Florida,
(City) -
and this statement is to be taken as m~ declaration of citizenship, actual lep] residence and domieiJe in
the State of Florida.
(In.en here any putinent t&Cu. luch u aai. of pro pert)' or bw.ineu, or rel,l.nqui.ahment ol emplo;tlilGt .t
fonner domicile. removal ,; family to new domicile, purth... of bODM, etc.)
ENTERING ONE (1) CHILD IN PUBLIC SCHOOL
DAVID r.1ARK CANTRELL
.e
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~37-l'7
f\l.. ANO RECO~OEO .
\N' ~il ~t- BOOK
\9 \ APR - 4 AM 9: \ :3
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:l~~UC'~ ICOUNll, flOklOA
I FURTHER CERTIFY that I will regi8ter at my local address when thl3 reai8tration books reopen,
and (omply with ali other requirements of a legal l"e8ident of this State.
I FURTHER CERTIFY that I hEl.ve no intention to return to my former domicile, and I intend to remain
. fT. PIERCE
1n.h._h........... U'__... ........-..............nnmn._nn....._u... .00......00.'
(City)
pennaneatly.
.--.------.. ---. .--.-~ ~~.h..~~_~!~m_n.._____u__ .c County, Florida,
1!~:....~~~.-:'.____c:L-_e.~_~~__._.._
(NaJM)
---- N~.'h_JJ.~.B,lMMh _~''---hG.AN TI~EL.~.m.__ uu..___._
(Adclnu,
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lj ~ -, . . .
... \. f' r. '~.,
sw~nttQ'.and'fltib~'Fibed before me thi8..._..4~Aiay of
j ...~;: - ,..'.. \'.
. -~.~..:.J:.~~y..__._...--Uh_______U__, A. D, 19.__6~
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Jt~?R.~'fO. i€A.&.~n___C1? .K
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WCD.J~~~HM'yX
DEP. CLERK
with elm Cireait Court. &ad duplicate with Tu .bMuor)
'In....." 8UDDlY Co.. Plant Clly, II'la.