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De~laration
Ib~i 17 PNiE278
........ -. ..
of'OodttliiQufiia\cfl~itizenship
, '
TO THE STATE AND COUNTY TAX ASSESSOR,
._-':~L.Lucie
COUNTY, flORIDA:
. This ia my decl....tion of Domklle .nd Cltlz.nU\ip in the St.t. of Florid. that I .m filing this dAY in eccordance,
.nd in confofmlty with CFa.pter 222, Section '222.17, Florida St.tut.s.
I wos formerly a legal res:dent of
. Ft. .Pier.ce,. _:. _u f'lorlgA____._ ,---.
(City) (St...)
and ; resided at - -
- 181a..s.. - 2~th, Street., -
~ end NuMIMt) .
.
However. I h.ve changed my domicile
to and am and have been a bona fide resident of the St.te of Florida lince. _ - . - - -., - ,- - - c -, - .day of
, 1941.', .nd I r!Side at i22.2. D,elBJ{ar~LAYJ~__ -.- -,-------
(Strwt Md ~)
..
.Ft.Piere.!,
(City)
-.
_ St....Lu.c1e_ _ _, _ _ _ _ _ _ _ Count)', Florida,
.nd thll ,tatement is to be taken al my declar.tiOO of citizenship, act'.Jal legal residence IInd domicil. ir. the State
of fIorlda.
(I~ .... My pertlNftI t.... IUdI .. ... of property 01 ~ 01 r.........."'*" of ......,ment at *- doftIIdIe,
removal of t~ to _ cIGMkiJlJ, ~ of hoMe, etc.) .
" -- ",.'~''''"..
Entering Lester Cleo Carver, Jr. in Elementary Sch~0;l<~1"O~) .~>..
: ....\ ........... '/",'.
.. ,'... '. -', \" '.
Entering John B.Carver in Elementary School (-~~.~~:' C~~.:::::<.)\
. . ... :...,..:~ .; ..}.. ~-.J,' -: ..- ::, .--
; ;- : -~ v< '~ ' . : (I) ::
~ ,_/ .1)/ . ""... ...
~oc. '=?'" \~.\ '-,....:"OJ.:.. l
;:;J' .~;. "'J-.. .,,-.,..'" ... ~.'..i-
,__ " .) I. '1'.,,:,. ~
ED AND RECOROEt"/;",, ;::.~.~~",.,IJ'
IN /I. OK . ........... .
1961 AUG 29 AM 9: 35
RJGER POITR"S. CL~~h.U
Sf, LUCIE COUNTY. FlORlupt,
I RJRTHER CERTIFY that I will r.;lster at my leeel ~r... when the leglltr.tion book, reopen,.net comply with
.11 other l'eCl\'iretMnt1 of . le;at ,.~ of thll Stete.
I RJRTHER CERTIFY that I h4lve no intention to return to my former domicile, .nd I Intend to fltfNln In______
"
_____________J!~~CeL----------------,
tcJtrl
______s.t..L.uc1.t____________:..,__ County, Florida,
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, ~..~n.i; .~.ti~ before me this.
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Ilu . _~];.;,~.. K _ CI~ ,~T_~:~l_ D.C. Not... Publk
..., ~ ::\I!lil~~ My Commlulon expiffl -----..-______________._____
Ch .. __ .. ...,.... ...... ......... flW ... a.tl QfnIt e-e. .... ...... willi Y.. ~
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_ _l2.22__Del.&lflU':._Ay!!.....-r.t.f.P1Qr~.~ Irla.
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. ---29.- ~y of ____________-Augu.at._________., 19_61__
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