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Oedaration
17 PACE148
of, ~,md
Citizenship
" ,
I. t,.
~U~l
TO THE STATE AND COUNTY 'r AX ASSESSOR.
St .L\,-cle
COUNTY. FlO~IDA:
This Is my declaration of Dom!d'- and Citizenship In the State vi FIorId4l that I ...,. filing this day In accordance.
and In conformity with C~pter 222, Section 222.17. Florida Statutes.
I was formerly a 191 rMldent of - ..
_ . M!l~~~jle~ _~~_
Long Island N.Y.
-----..- -..----, ------------.-----
1CJty) CSt...)
, ' 118 Forrest Ave
and I raided aL.. __' _ __ . __ _ _ _ _.... _ _ _ _ .. .. ., .. _. _ _ _ .. . _ _ -... ....... .. However. I have changed my domicile
CIet'ftt eM Huoftber)
to and am and Mve been a bona fide resident of the State of Florida sinaL . -' - -.. l...Li: ~!1_........ ...... - .. -- ..day of
___ ....:_~__L~A~~___._ , 19 ..~J.. 'alid I r..1de at .. ......2.008 _~n...~1.~__89~(t-- ...----------
CSWwt ... ~)
__ Fort. Pierce ___._ _ ____ _" __ ----I _ ___ __..____________.~~_._I;.~_~.~.~_._ County. Florida,
(CIty)
and this statement is to be taken a, my declaration of citizenship, 8Cfuel legal residence and domicile in the State
of FtMlda,
o-t her. ~ p<<tIMflt f~ MICh .. .... of prOf*'Y Of ......... ., rellnqloleMl...' of ....~ .. *- d0MlclIe.
_.. of t.Nty to _ doMkIIe. ,."... of hoMe. -.)
Entering Donna A. Scholl in the 3rd grade
97703
IN%l<~~~~~~:OK
1961 AUG 25 p~ I: 59
r. . ... '-N' pn tTn," I'll f""
I~. ..._ _.t. U C-,ky. tot.. hf,
Sf. LUCIE COUNTY. flOi\IOA
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I FUkTHER aaTlFY tNt I will register at my local add..... when the revlstration books reopen. .nd ~y with
.11 other requl,.",."ta of . teg.I rea1dent of thl. State.
I FURTHER aanFY ttm I have no Intention to retum to my former domldlef .nd I intend to refMln 1"______
Fort Pierce St. Lucie
__..____________,___________________________ o. , ___ _____,______________ __________ Countyf Florida,
@Citrt
perrnanentty .
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~iIl.1l
Mrs. Warreu Scholl
----------------.--_.----~----------------
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Sworn to and subscribed before me mh.. 25tA----- day of ,.____ft..uguat--------,----------, 19____61
_ ________________________ ___________ __________ ,.,~ .~~~:,~,~~.~i.~~~:~~-- ------..---------------------..-
~~POI~~TCOURT j~:~<:~~!:;;,}..),,::\ Nolo.., Publk
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