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This is my daduatbn of Domtdle and CMiaansl+ip In the Stele of Fbride thN I aen tllinp this day to aooordM>e~
and in confamily with Chapter ZYl, Sectbn x.17; fiorkN StatuN~. _. ,
1 was fom»rly a Iepal.nsWent of__-- jTi`-btii4---------------- -. .-------. ---OihiO------------
_ . latii _ lira ~,
and I resided at__21~._PArr~c..__a,YOAUe------------------------• Ho~-wu, i haw d~ae+~d my dornidla _
to and am and haw been a bona fide resWint of tl+e &ah of FlorWa sins---~~--------------~---day of
.: :~. _ - _
f ~^.
TO THE STATE AND COUNTY TAX ASQI6~QR. `
S t . Lue ie__CpUNTY, WORIDA~ , , - ~ .. .
------ Beoetttber----------------, t9(,~_-. and 1 snide at 1~4-08o#8a~-COIF*--------------- -
- - _. - ttrr..~ a~ tMr.~sy)
--------FQrt Pierce----------------------• -' $~~--~uQSe ------------------- ~+~, Florida,
and this statement is b be taken as my deduction of dtiaanship, actual lpal residenoa and domkile in the Shh
of Florida.
t~ Mrs sny psrfMwn fselr~, wrd~ w MM d propsrfr a 4oiw~, a rst+.~iWrrww sf sr~plsywM1 M tssr rnsitas.
rw.wral sf ts~y is nssr Asisiew,, pudws sf Mro: tleJ -
Establish Resid enoy
1014'~O
F1lED AND RECDR~ K
~i
1961JAN -2 pN~~: 21
ROGER POITRAS. CIERK
ST, IUCIE COUNTY, F~~o,~,y~,,, •
-, , tx~`- :,: ,~
3 r- =
~~'''• _ ~ •r. ~ ~. .
1 FURTHER CERTIFY that I will register at my local address when the npistration books reopen, and comply with
all other requirements of a legal nsident.of this State.
1 FURTHER CERTIFY that I haw no intention to rMum to my former domklle, and 1 Inland to remain in______
- ---~e~#~-~~eruie---------------------- - . ----St~.--Luoia--------------- CoumY, Florida.
lr+M
PermanenHg-.
• `.~'-.: •-• `'~ John A. Bow
•- V • r ~.' • r-'1-
,.. •,
_ ~ _
~~ j-'StAOrrt i~o~•~nd:bed before me this _ - 2nd ------- ~,Y o{ _ J~ttltier~I -------------------, t9_ 62 --
-tic__ -
----------"----------- -----------------------------c-----------
K CIRCUR CURT _ Notary Publk
. _ .~
BY ---~~~/~G~'~•-'~'Q1e~'------------ D.C. AAy Commission expires ---------------------------
R. M ..n.rd f• ~w r.~ «y4d IW s~M tit Curt Grit, ss/ ~ii..N ~lil Tbc I1rM«nr1
sroo. n. siswos