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Declaration of ~~itizenlhip
TO THE STATE AND COUNTY TIV( ASSESSOR,
St. Lucie COUNTY, flORIDA:
This is my declaretion of OomkU. .nd CitlHnahlp In the State of Florida that I am filing this day In accordance,
and in conformity with Ch.pter 222, Section 222.17, florid. Statutes.
I was formerly a I~I reaident 01...__ __ .__._.__M~t.T.opQl1-~--..----. - --, ------. _.___Ill.____
tcJty) cse-l
.ndl r...ided at_. . _ ~lQ __w.es~__l..th_ n__.._._. _ ___ _____.___. However, I have ~nged my domicile
(ItrMt -' NunIbw)
to and am and have bMn a bona fide raldent of ttM State of Florida since_;-_ -- - ~Oth--------'------.-..day of
____ _ ~~mf).t _,__.__ _ __ H_ .._ _____, 19 _9_:l_, and I r..lde at _ _____JQ8_JiorJ~h-.l6.th-~-t.r!'Jit-----
(Itr'Mf -' NunIber)
___ _ _ __ _ __FDrt_.Pi.erC8__uo__ __ ..___'-,____u, ___u __ .St .Lude, __ ___ ..____ .--- County, Florida,
(Oty)
and this statement Is to be taken as my declaration of ,citizenahip, actual legel residence .nd domicile in the State
of Florida,
(1__ ..,.. ..., ,......,... ..... IUCh .. .... of property or bWIMa. 01 ntIlnquWuMnt of -'NfI'*'I .. ~ .......
_el of ...., to _ ...... ~ of ....... ..,
Entering Sherry and Br~lda in the local school
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! flJRTlB CEJT1fY thet I wUI register .. my local address when the registration boob ~, and comply with
.., ott. requbwnentI of . iegeI NIkIent of thlt $tate.
I fURTHER aRTlFY thet I Nt.... no Intention to nltum to my former domici", .nd I I mend to r<<Nln in______
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____u__-S:t..Lu.c.ie-------u---- Coumy, Fwida,
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Mrs.Arthur~arltcn
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2~9-$~~~.:.1Mf;Of5Z---u- n_'___A~m.;.~~________, 19____Q~
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_____, ___.,______________ -.----------.-.-i-.....;."'""'-,....J, -'~'. --~-------------_..----------------
. . ROGER POIT~, ClERK ClROJIT cqJ,RT: ;~ . ~ ' I .: :':-, '. ~ ~ Notery PubUc
. _ I: "., t. " .;1. . .- .. . id at Lar~
. .:. ~'I" .'~ (/' t., ',1" ,II.: liotary "ubile. Slate of FIoJf' a15 1964
By : _~ '.'fIo.t~.,;., ~,.."W,;..;..~".u- . ,..; Uu "'ornmi!>sion Expires an. 'N WI
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Swornfo and r.ubtcribed ~ me thls_
.,.oa. N. H~IIICC
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