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HomeMy WebLinkAbout0325 ~03t 17 319 Declaration af Domic;ile ~ Otizenship - '. - n;locl[ COUNTY. FLA. ' TO THE STATE AND COUNTY TAX .~, St.Luc1e - COUNTY, nORlOA: . . Thi. II my ded."tion of Domicile ~ ClllZleNhlp In ~ se.,. of florid4l ~ I em filing thia day In eclCOfdafa, and in conformity with Ch.pter 222, Section 222.17, Florida SgMH. I . I w.. formerly a ~ ~ eL_______._!~~_~~~~~~u._____~________., _____~~_~~__~!l_~~_ina . . (OIy) ~ .nd I resided aL__ '_._. ___~91_!!.~;l_~!:E!~nI!Q~Jt.?-~r~-------. ~....r, I have chenged my domk:lle .... .... ~) , to and .m and h~v. been a boN fide r..1dent of the St... of ~Ide lince___ _. - -- ~5.th.---------- ---<<Ny of ___. __ _.._ _ _ Jl.U\(L___ ___ __ ._ . _ __., 19..61., .nd I ,..Ide at __. ,..' 5.a1.1.r1S1LEatat8S.._- _So..2.5t.h St .' ,aw- .... NuIIMr) ... Fort Pierce St.L.cie _ u_ _ __ _ _ _ _ _ _ _ _ _ ._.... _.. _ _ _ _. ..0._. _ _ _ _ ..__ __ __, _____ __ ___________________ ----- -- -- County, florida, (CIty) . and this statemitnt is to be taken .. my ,ctedaration of citizenship, actual "I, residence and domkll. In the Sta.. of Florida, . il-' '*- MY pM"'*" 'em, IUCh .. .. of property << bueIMIa. or ~ll~ ~... '.t ~lr.I.I";ll II --- ...... r-a of 'erNIy 10 _ ...... .-m- .t ,-, -.J . . \ Entering~D~vid Keith'He;drick in 'the 3rd grade " 'Richard Sidn~y Hedrick in the 5th grade 97810 Alf.O ANO RECOROEtl IN1#'~_aoO\< \9b\ nUG 29 PM 3: ~O ,.,..~ . ~ lr"'~~. r ,. r '" ... 0 I , " j\. . rl.)luC~[ 'CQUKll. (lOt\i~~ ... ..., .J1 . /I - . >I.~. // , .~ "-'" ~ ~<\\\ C:/(I' , ' !. ,,' .,' . .. . , . . ,.;>.. '/' ~..::;>., :'.. I.',.'..~ ;- ,-, ;", .- - . ;... .,-, t.,', ~ . ~ .-' . ' tII l. : ~ . ~ ':~\ ~;' - ~ ! . ',,': .; . \, ',I}<~ .~.~>:..::.,~~:~ "... , ......t. . (' ." 'I, " ',',....~ l," , '.' fuRTHER CERTlN that I will register at my ~I addreu when the registration boob reopen, .nd comply with all other requirements c?t A legal resident of this State. I FURTHER CERTIFY thet I have no Intention to retum to my former domicile, .nd I Intend to remain in_______ .. Fort Pierce ------..----. ------------------------------ (OIy) _ __.. _ __~~.!_~\l.s:J_~______._ _.______ County, Florida, , permanently. ~~U-~ Richax-d Od~ Hedrick --- - -----.'.--- --------------------.------- /," ~) . . "..,ll. t, ;.::,.... . . . ""\1 >2ji.,' ~" . August 61 Sworn to.nd ,ubscrlbed before me thls.- :...",~~, ..!~.+..--..... .9',of~ ___ __.~_________..____._______, 19..._._ .. .!(.J...:%.~ ~. 0.) ,....~'-:.. '~ '_ .... l';l"'- -'. .. . I /: 01 '.' ",... 't'.,..... . .. ~ .L,,~ _"_.. __ _ __ ____ _. ____ ________ _ ___ - - -+--,......)-....~-...r.-~-.1 .. .,,-- _. -.---- ---- .----- --- ----.- ------- - - - --- - ._-- ROGER POITRAS, CLERK CIRCU.~C~r I ~ . ::' _~ ~ ;; ~ . Notary Public . Florida at large 0,; ..s~,.,: . .,.1:" ; " ftO\aI'Y PubliC! State o. n 15 1964 ..., .,;' ....',' .;. .~ " ... ; ) My commisSIOn [llplfM Ja. "N '(, ", ." ': ft;': .I,....v.......''"...__ _p1~_ Jed" Ame[JQA[1 'l.urMY CO. 0 ' _ __.._.._ -----------------.--'-:':'....1.1-.:'~'4! '~, :r:n,...~''''.' _'''''11.... .... -Q.Jw 'f -~---------- .~ v#-. .... '~' .. .' .<l.J_ ~" ~:;.. ii, \, ,.(f' - ~ rr. ... ........ .. ...... .. ~~:l't1'" ~ an.. c..t, .... ....... .... 1. MMMt) By .~DD. n. ~IC;"DII