HomeMy WebLinkAbout11634 ~'~.'~ tf~.1iTY A~ Z'>~~T' w1 aF']/ d +1k~' i#PS i~ Y' -:'i 'P'~'4' X '7 3;~q~•
~ ~ r - ..
Y~ ~`~~ r ~~~~~Y r ,`a ~ xL~~ ti+~i.+ ~ { _ "3s-N''~~~ ~< 0.1~ e ~~ ~p~r .t *~~.ii # _+f ~*a ~?.; v i { •~ 3 ::5:. .
~ f k
..
;.
- ~ r s..• t`.- ~ j,.
- - ~... -. ~. -.f . -
•
._ ..
.,: t~ T
y .. , a
i v i ~ '~ ~i~C~~ ts~~s~.~.w '~s~. ~:1Wr}' ?` c~ ~ *Y~t ~rs~~f ~1}t~- ski ~Mt3r ua~~ L.
" ..'._ .. ... t '}` ,` r``•~"t a3~ 4;~'.';i~sij}•ff sir j r ._.,«.-
~V~~~~IF ~_~ i~~. li~~y, ~ ~~i~i;. ~. "i rr 7~ a t4 ~ ~v1 r:r ~ ~... .i
1 ~~ ~i , s
Thk b ~• drdarMlop Of OO~id1a Mld~~ ~ ~ i1M! fis -*rr.~ ~ f a>r~ ~~ ~ ~ _~ ~
S
and in aonformM~- with Ch~plrr ~1, ~if10^ X1.17. 1!lwtdt ~~.: - _ ,Y.._:~.r'
1 war ioamrriy ~ hod t ~----~-~~_Dt~_ ~~,lRlii,_ .~-•., .~ -- ~ --------
' s
and 1 nsidrd N___-..__.2Q'SG ~la~d_1.71-r- - ------ - -~ ,~Nw'~'• 1 hwr dw+~id ehr domidl~
ti1MaM aM titi^iarl ,
to and am and haw barn • bona -lido rrNdi~w of 11» StaN of fbrkN' tk+oa~.:.~.1~.~ - ----------------~ ~
---- OclOber -----=----_~_--=-%~196.~, and I rrridr.at"_~.Z~ 4~tB~~-l~A-..---~-- -------- -
a ~ Orate "'~ ta~iall
----1'art_~inrc.R_ ---------- ` -------• _A~~~S~:~il0lait------------------ ~~1~~ ~~•
tzar!
and this statan+rr~t b to br takrn at my dadantbn of dfit~hip, aRtuai Ir~al rrakial~or and domidlr in thr Stab
of Florida.
~~-F
:;~.
(IIINf~ tIM'~ M1y pM~MMM ~r ~IIS~1 M Miff of /1~fly M. 1MrMMr r f~rll~r ~ ~al~ M tM111K ~R
nsewl d tMaMr N, awr rwdelw Puielwa ~ IraMr dra
Establishing residency
101455
~p pNp REC~R~QK
~ _2 pM10: t6
196 JAN
Ro~Ea P OU ~~ E~~° °A
gt , lUC1E C ~~
~/ .wW~~~r~ I
,-
~~- r......,,. ~ ,; ..
. I~~ r.,~•: ,
. ,~`~; .
1 FURTHER CERTIFY that I will rrpistrr it my local address whin thr nRistration boob rroi»n, and comply with
all othrr rrquinmrnts of a Ipal rrsWrnt of thb Starr.
1 FURTHER CERTIFY that I Mw no iMrntbn to rMurn to my ~ormrr domidla and 1 intrnd to amain in-:__--
----- wort _Pieree ___________________- • ----------3t.Iaici4------____-- Countp, Florida
~. -o+^w
~~~
L r'aY~1y'~';~;' s
~'~ ~
'
2nd o
~
~
10 and subscribrd brfon Inr thb_
sworn .
•
t
l
n~ ~T~~ ~ Q r,
s
1', -. ~~ ~ r ~ ~ fj i
,
~
F'OI CLERK CIRCUIT L ~;
: r z
~ / ~ -
..•~•
- ~-
Ri M ~i 1~ ~~ ~ ~yiad tti~ ~rli' - CNr
f
~ y
-
.
_~
.
w+~l .
~'--------------------~, 19--~ ..
------ ~~ Publk ---------------
iai `~rrMMi sib" has Iww«.d
. ~ f