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Tb THE STATl: l; iD_ QOUMiY T/~X ` ~ ~' r ' - . .
This b my d~daralion of Oorr)idl~-aiie~ !IP.in 1Aa. ~t ~ liaMdi ihif t,~ fjlingd~b day M aoooidM~a'•
and M QOnforf1111y with CIapIM ~!'2, 1011 R~.17, Mlotie~a SMduNt. -, ~ ~ .
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1 was forrnatly • bpai rasida~M of_----~--Kt~'u~".-- ~- , --------, _-~n~0.lu------
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and 1 rasWad at___-RiOrixe-~--awr nw.rK)----------------------__. Moww~at, 1 hwr dwgd my domidb
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to and am and htw bawt a bona fide nsidint of the Stela of NorWa s~~.~~____.-------------day of
---~~~~~d.~'------------------• 19~:_. and 1 rrlldr N _~t~_2..~.:~~~~-..~.__-------- -
- a - , ~roM a~ rMciM!
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---F.,o~rt..~ieraa__ • -___-- cater.
and thb statement b to ba taken as my declaration of citisanrni~, actwl t+yal r~sidanoa and donadla in the State
of Florida. -
p.w~ Mcr nqr r.rNiriM tw. «~ a..d. d Oc.p~rly « ~.w « ~~wf al .cc~brw.cy M tawr iwl~,
cwc~wl of irrl- w Mw icccieM4 r~~ a! Ic~ww dt•)
8htering Jalaea Harry Pearasll in the 6th grade of public
School `
- 101449
IN ~ ~ R~ QB~OK
1961 JAN -2 AM 9: 36
ROGER POITRAS. CIERK
Yt. IUCIE COUN~ F ORIOA
(ti w ~s+s~bi r /yMau ac/ aycd t/d .~ CbAc ~recf Caws unl ~ieMi ~rilc Tic A.wcwd
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• ~ ~M...r+H •~••
1 FURTHER CERTIFY that 1 will repbtrr at my local addnas wham tlfe rpbttation books reopen, and ootnply with
all other nquiremenh of a Ipal resident of. this State.
1 FURTHER CERTIFY that 1 haw no inlrMbn b return b my Tamar domidle, and i intend b ramaln in____--
---,~G._ 1~_P~12'~4------____-- _ ---_-qtr, _~.~4--------------- County, Florida,
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?, Mrs. HoMSr~F'Fdaraall
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bsc~lb~b.fora m. this . ~d. - -----
• . ~ ; .rat '~ - daY of January 6z
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---~ -.TRAS. - --gRCU1T COURT
;~ = -Notary Pubik •
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BY ----~irr"`.~.'-- ' ----r------ D.C. My Co~nml:sion ~~ --------------------------, .
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