HomeMy WebLinkAbout1201Y.{ ti:-
- 1 2 ~ d: a
;,
TO THE SLATE AND OOUNTII TI1X ~' ~ :'~ 3 __ .
Thb b my dedaratNM+ of Oon~{dle and ~ in tht ~ of hiorid! tMt f sari MINA: MtM day 1n ~ooonlrnoe, ~. .
and in conformity with Ch~ptet YlZ. Stalia+ ?2.17, Horidt alah+laa. ~ ~ ~ .
1 wat formarhr • ~ riaWMM of_____ ~~--~_.....----.~_-- ~ _-.,- ._---• ---_p~! ____.___--
toM - . turd ~ .
and i r«b.d at-_ 1002 OeY'san StrerL__-- - ~ ----____-- ~„M,,,1 hnra dw~pad rnlr domNfle
o~ Mi --- -
to and am end Mw been • bona fide raaident of tha 5ta1e cf Honda .a+a_~:___.20t,~.__--..__-_-_---day of .
--1ror~-P~.er-aa--- ---- ----------- ------• -----------~t,rL~to#e-- ----=----- may. s~orwa,
'~-
and thb ttatemant b to be taken as my deduction of dtiaarahip, actwl Npal reddenoe and donadle in the Stab ,
of Florida. - -~
~~ twr aM wrM~Mt hdb _ wd ~ MM ~t M'~~ r t~ti ~t n~M1 ~ ~ywNt ~t tirsw i~wkM
wMal ~r tr.a~- w rw ~IeM.r vMdw~ ~t t~ Me,1 - .
8stabliahing reaidenc~
1p1~6
~r~ ~
1961,~y -2
ti.~ YC~C COU
°`*-4lT
• xM
/~
~.~`f,~.
-l ~ ,;
+}~.'c•
• - - - . --. iJ ~'~
' ~. ~9
-•
..
K„ ~.
r'
f~T•~
f
rpN~ter at my local address when the raptatration boob n~'I~L .~aoMpl~y with
1 FURTHER CERTIFY that s will ;. ~ ~ ~-
_.,...
dl other requirements of a Ngal nstdant of thb State. = ~•`~ ~" : ~ '
1 FURTHER CERTIFY that 1 haw no' intentbn to nt+lurn to my former domkile,.and I Ib remaM in______
-------1!ort Pierce ~ _ SttLu~~e -------------- County, Fkxkla,
Sworn to and wbsaibed before me thb_ --
RO(31>~ii POITRA3
--- -------------------------
~ POlTRAS, CLERK CIRCUIT O
tT•M~~YW
~~op, n. ~aw~s
.-~~ . t Karon J~.~l~ler
_______, 19_~__ -
"- ~i. ':~,~ -- Notary Publk
~:~ .4 e^
pw4 w~ r>~M ~ Ts A~wd .