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Declaration
1t) PAGE 54 '7
o~ .~~.~rWA.Citiz.nship
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TO THE STATE AND COUNTY TAX ASSE~SOR.
1St. Lucie
COUNTY, R.ORIOA:
This is my declaration of Domicile and Cltizen&hlp In the St... of Florida that I .m filing this day in accord.nce.
.nd In conformity with Chapter 222, Section 222.17, FlorlcH Statu....
ICIty)
_ Mar~land
~..)
I was formerly a legal rnident of
Hyattsville
.nd I rnided .t
5602 Hamilton ~or Drive
cser-t -' Nuoolber)
However. I have changed my domicile
to and am and hay. been a boN fide r.!dent of the Sta.. of Florida since
. "
at
day of
July
_ . ._ . 19. 61. . and I reside at
Route ~,. Box.6529 . .
(Street end Numto<<)
. Fort .Pi.er.ce
(City)
St. -Lucie-
County, Florida,
ana this statement is to be taken as my declaration of citizenship. actual legal residence l!lnd domicile in the State
of Florida.
(IN<<! her. MY pert\neftr tech, wch .. .... of property Of bwIMu. 01 ,.Ilnqubhment of emplo........t .r 'on,," domIcI...
__.1 of 'emIly 10 new domIcI", purcMM of ~, etc.)
Entering Ernest Joseph Davis in the 9th grade of
public school.
~'~ifi:~~
FILE~ AND RECORDED " . .
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IN . , ." ..,.) ....,...;;' '-
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lor' A .. , :, /' . . .
J...: UG 2:> ni''': (s. ~~~{ ;~' ~ .::
__. ~ '_~';:\\I. -..:t;.
I; .J'. '. , . u I i I: '." I" rr r. ',' '.' -'" ~..... ."~. : '.
Sf. LUCIE COUNJ'Y'fL' O'kL I.UA' .'.,~-?'.:'.~....l~l(lt\~:..:..
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7IIs ,J .11 r. ').
I FURTHER CERTIFY that I will register .t my local address when the registr.tion books reopen, and comply with
ell other requirements of a legal resident of this Stete.
I FURTHER CERTIFY that I have no intention to return to my former domicile. end I intend to remein in.
Fort Pierce
---~----- -
(Cltyl
St. Lucie
County, Florida,
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per('rHIt')eAtty....o' .
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Mrs. Audr M. Davis, widow
R9u~e 2, Bo~. 6529,Ft.Pierce,Fla.
lAddr-1
. I
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Sworn to and subscribed before me this
22nd
day of _. . August
, 19 61
---- ----------------------------
Notary Public
D.C.
My Commission expires
By
IT. ... ..ee\IIM Ia ...- .... ........ met! willi a.n CitwII c-t. .. ...... .;.It ,.. ~)
...co, n. ..'E.CE
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