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Declaration of Domicils and citizenship
' ~b~~ 2~ X526
TO THE STATE AND COUNTY TAX ASSESSOR, ,r. _
Qt L„Qi~ couNnr, a~rtIDA, _ 'ST. IUCIE COUNTY. FLA.
This is my dedaration of Domidle and Citizenship in the Stab of Honda that 1 am filing thts day in aooordano*,
and in conformity with Chapter 222, Sactlon 222.17, Fkxida Statutes. ;.
1 was formerly a Ipal resident of-------------~1~1-$Li~eII-- ~-----------• --~#A-~--~ ---------
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and 1 resided et______8._8•--1---------- ---------------------: Fbwewf, 1 haw changed my domidle
itti+~ and liweba)
to and am and haw been a bona fide resident of the Stab of Florida since_--22nd------------------~Y of
-----~~--Decem~r----------• 19.-61, and 1 reside at --]-904- ~t~'3~Q~~t~.---=-------- --
-~----------F~ort,_Pierce---------------- -, ---------a3orida------ -~------- County, Honda, .
. t~M --
ird this statement is M be taken as my dadaration of dtinanship, actual legal residence and domkile in the Stab
of Honda. ~ .
Opt Iwr a~rp P~rfMMf fw~, wd~ w aM et peopaty a bwMw~, ~- nMnquilwNM d ~M1I+wM M te~ww- dowreiM.
iwwwal d t+~f- ~e new is~detM. p~dw~ d 1~- ~ItJ
Entering llm. Patrick Eplin in the lst Grade
of Public School
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. 1962JAN -2 PM 3: 28 ~-
ROGER POITRAS, CIERK
St. LtlCiE COUNTY. FLCRIOA Q•~
cf.
i FURTHER CERTIFY that 1 will rrasbr at my local addr+ss when the registration boolu reopen. and comply with
all other raquirwrnnts of • lapel resident of 1hM State.
I FURTHER CERTIFY that 1 haw rw fnNntbn b velum b' my fomMr dornidle, and i intend b remain in____--
--- y9~C~ g~•_ ------------------ - -.i~t~_~1ta1B------------------- County, Honda,
`.,tit ..';.' •,~g ~'~=~~ - 7~~ ~ _-_ ~.
4 ~ ff - ~rJ~1[~~G~W~- may[ j~!S!Q"--- -------
• ~ OMei(f
~'3~ .~fi'*fYs - _ ~ : ~illi.a>t Dewey Eplia
~~ m. tF+ls. 2Ad-= day -~- -•
• --------- f - - •--- ~-- --.._ ____ ..~_-- ~Y Pubik ---------------
ROOER CjRWIT COURT
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