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,~O~i' 18 PAGf.505
Dedaratio~T .~tCiPf.tmifl!'L A~nd Citizenship
..
TO THE STAH AND COUNTY lA.X A:>sf~0I?,
~t.... Lucie
COUNTY, FLORIDA:
Thi~ is my dediretion of Domicil-e and CllizenstHp in the 5!ate of Florida that I .!1m filing lhis day in llccordance,
lIno in conformit), ....ith Ch"plf;.r 222, ~ti<.>n 222,17, Florida Stdtllles
I W(U formerly II legal Il!sident of
Lyrtle Bench
:..i Ot~ th Caroli nR
1St..,.,
(Cily)
.....
and I rlHlded lit
305
However, have changed my domicile
20th ~venue South
(""'" .nd Nu",o.<)
to and am and have been a bona fide' resident of the State of Florida since
12th
day of
:...;e;.'tember
,'19 61 , and I reside 3t
5526 Oleander Avenue
(Str...' .ne "'vmbor.)
Fort Pierce
ICily}
St. Lucie
Counti, Fiorida,
and this statement is to be taken /h my d,~<illr,tion of citizenship, actual I~al residetl<:e and domicile in the State
of Florida.
(In..<I k... any ",,'tint'nl fActi, .uch u ..Iet of prcPIorty 01' bv........, 0< rolinqulthm4-n' of Iomploym....r ., fon..,., domicil.,
<omovel of f4mily to r......, dcmiciHt, P\lreh... of "-ne, etc.)
Entering Children in School;
'.
\ .t'
:3.er'tha
Nanc:!
/ "
in the Is t grGde
John Franklin, Jr. in the 2nd v.rade
/,
/
~
FU.~!i ~tr ~:~CO');OEO
, _ Official ~ont. ';}K
lor I
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I r-URT~ER CERTlrY thaT I will register '.It my Ic<:al add,eH ......hen the regisiration books rcc,pen, and comply with
all olher requirements of a lega! re~ident of this Stille
I FURTHER CERTIFY fhat I have no intention to return to my former domicile, and I intend to remain in
-, '
pe" flftf1tml j y .
.... . .'
.)
Fort. Fierce
(C;rfl
CcuPty, florida,
~) t t
Lucie
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