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TO THE STI~~'E /11!14 CO~INTYaThX ~-SQ~540Rti ~ • .' ' ' ;
gt. T,11e~d ~l)~Yy .. - - ~, -.
Thb b dedoratioft o~ DoiN~if+ ii+d ptb~iwhip in the 9fsie` bf- Hotldo i ani filMtq this day iri aooordrtrtoe
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and in Qonfondty wMh ChepMr ZZ1, Sadloin 7Y2.17, i;{otlda SNtu~ae.~. .
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1 was formerly a ~ raatdeflt of_____:..._~1lRte]aldtd.,._____;,..~__.a.....,_.• ___.flhin___________
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and I rasWed at___~~~~1_Q__HOd~pBSl ~~e_ -------------• ~ Ho~rwr, 1 haw dwr~pad my domidk
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to and am and haw been a bone fide rasid«N of the SgN of Florida WAR- ~lYi~l.---..-----___day of .
'----lgnseaithar_------..-___:___-. i'___4~ and 1: taatd+ ~ a` ~_:~9~..~.ii4~-31D~1. C_ ~~_ 3~, Lucis
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-----F~.-Rierca----~ ~---------~---------• ----,----5#..I.wci~-------------- ca+nh. Florid.,
and this statement is to be taken as my declaration of dtmer~hip, actwl bpal nskbnos and domidl~ in the Stab
of Florida.
plwft tM•r My /M1~1IMM tti~ Ml~tl M MM Or'fOMfly M 1MI~Iwr Of I~M+IIYIMM 1r .wby~w M MAMf i~le1M,
nwawl ~r t~aMp a e.w d~le~, rw~w ~t Mew alril _ .
Establishing homestead
101453
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i9st .mot -2 - an io: o i
$ROIUCIE COUNTY FLOaR 011
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I FURTHER CERTIFY that 1 will n~Isbr at my local address when the regbhation books reopen, and comply with
all oM»r requiremenri of a Ipai resident of this Stab.
1 FUi1T11ER CERTIFY that I haw no inMMton to return b my former domidlsl, and I Intend to remain in______
Fort Pierce 3t. Lucie- _ ~,r,ty, paw,
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Sworn m and wbsaibed before me this_ .. _ ._ ~.~~;'~ of ~v.r., ~.~6 19_
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-ROIsER.-PIIZT8A3 .~. ~ }~ ' j-' v~,.l~~ ; u
------------ POITRAS CLERK CIRCUR COUR~~; •..,.~ ~~ .~i ~~r~
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Notary Pubik
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