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D~Iorotio~~ `=: Daa~i~i1~ ~a+~! C~itil
To T~ s3rzs ~ awrr_~r~..~n,c ~~er~, - - ., , _
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st. ~c~a ~ lLO~~t ° ~ : &T. LUCIE COURTY, FlA 1
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This fa aiq- dseiatatio~ of Doesielit aed (~wMitilp ie ibe Staff ~• ~leeida that I awr Viet lids dy in
tooordanee. and in ooatoneigr witti Qrpkar lll9y 8«tke~ ~9ti7, P'bsidu St~tntes.
I wa+s laemarly a fetal resident ~ ~~ .. ~ '.ph{ a ......~..
cave c~•Aa do~e'~ou:
and I resided at___~~? ~he~ Pi~~...: _...~ ............._~_._. Hower, I iw-ve chansed aU-
(etre~t sad 1~Ttcolte)
to and am sal have been a bona sde resWant at ~ state of Florida ainee..._..___~._-._.__...-- day of
June 18 61, wd I rasids at ~ s• 1?th Street
(at~wt a~ NMS'la)
Fort Pierce St. Luicie ----. ,
(CWr) ~ -
aad this statement is to bs talaen as my declantian oZ clHseoship, aebyl lesai residesoe snd doa4icil. in
the state a2 Florlaa. - -
t~ ao.detl.~„ serial ~t~~ to snr~a°p~.: ~ : a~`lr"t d ..~..~t of -
Applying for homestead
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a -~~ .
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IN~~~
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1961JAN -3 AM I I: i 7
SRO UCIE COUNRr FLOC R 0
Q~~.
I FURTHER CERTIFY that I wlll raeiater at sty local .address when the resistaration hooka reopen.
and oaa-pl3- with all other requirements oT a fetal resident of this State.
I FURTHER CERTIFY that I have no intention to return to ay- larmear domic~e, and I intend to remain
~ Fort Pierce ~~ 3t. Lucis _~~,~ g~~,~
PW- gab) ~
`~ ~% (ltaaw)
.Y r eor~n .~•. Bguer .w
(Aiiews)
Swam to and subscribed bedoe~s ms thfs_.~:._...day ad
J anuarv , A. D. il~~ -
RoRer_Poitras~- Clerk
(~ ba b ~cg8~ats aai •el~l !IM wldi ~ Ae~eit seek asi with ~ Aa~~e)
a.~.... s..ds ow. rf~st acs. sa. -
t. .
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