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HomeMy WebLinkAbout0456~e ~ .. ~ ~'...~., d ~air~~ ~-~ micil~ a~Ed atixea. , . ~c~ . ~,~~~ .~- Tt7 TtiE STATE arvi~ CcxiN~fY rAX A~S~SS~?it, '"'t r.; ~ , ~`?y This is my declaration of C~erriK;6e rend Citizenship in tiiae Sete of ~brida that i ~rr+ iilir~ tft-is day in accrardarx~, ar-;c1 in r~rti~orrnity with ~hapt~er 22~, fiction 272.17, F~loritda Statutes. i was iornrer-y a ie~l reaidant ai .. ~ ~.v 1..~. i ~_ ..- - - _ .. .. ........ . - - - - - . ~ ~ S ~ ~~'' , a+x! 1 raeided at - ;~ j ~Tyldetwtuas3-. A'4d 3P - - - .. _ - _ _ ._ . _ ._ ._ . _ _ .. ttt-vvever, i haw changed my domicile tsarly ~+d Rprmbor) _ to and am and have been a boeta tide resident of ttte 59ate ai Florida since.. _ _ _ . _ -~~~ . _ .. - . _ - _ _ _. day of ,_Octaber _ 39 61., anti I reside at _ _.601 Oc~an~r°iv~ ~~~~ Fort P~~I"C@ _ _. _ _. ~~.a~Ci_~ _ _..__ _ -.- - - _._ _ County, Florida: and this statement is to be taken as my c~clmration of dtizenship, adv©I legal residences and dwnicila in the State ai Fkxida. (tnsen Fw~ any p~!r:istisr•r fscro, wch w s~ of peap~ety or bur,7r_w-. a rwli-a~uhlarad e7t ~ st dootik3~, .a.~+oval of '.miiy no new ei~k}ie, „~rreAMe, of ~, aM.) ~n4ering Deborah Fllei~. Smith in ? st gra~.e FI~~D ~hit~ r~FLO,=,~iED yy~ 196f OCT 2 ~ ~: 00 w..v<~.~ - t" ~ " ;~ ~,;'~ . ,' ~. "ti`. '~7 ; ! :. ,' ~.. 11`U'~"i-SLR C~l~a~Tll'Y that I will r~±Rt;xr- at my icxc..ef ~c~cires.+ wfies:~ the r~e;~istr8tifln larst,'scs reaper, trx~ :usnpiy with nfl vt?~~ar rr~uiremer~fis r~F d 6esga! res;Ge,~t Qt this Mara. f FURii~Eft CRT{FY tt~ar ! I;a4cs ncs irrt~nrion to return tc, ~-,7t fiorrrserr c.€arniciie, arod { intend try reirnain ire _ -_ -, 7T' ~ ~'1 F•. C ~ ~ _ ;;: irr} A / 1 ~S+iµ7 ~. ~ .- l .I c.~. _- _ _ _ (:~ ~.~ f i 4 7fi i .~C~t (. ~',~~i .. ,.. .. ~.~. ~:.i'se4+ -vW:7v°:° .:e? .~, _ ~l !`~_~,~.._ Y': :v'f ii - .i'.. <'."t ~:; X~~ ... - / .- ` i .~ ~'. s Sf ,~ , ' . . ,. u ; ~ < ~ q r ~~ ->~-.% 1 . t..~ !ir. ~ •cR~{k`7$-~ v=: a'$~Si4:f•7".: M°i+~ Q:3y~~F:~i 'it+gy N`f.+1 M~3'~ r`A!'4 it.'?' 0.: C'M1?~, dchp -u1k`,CRb4~~ '~f~ffi°. 13!F' Y3+'i•'i