HomeMy WebLinkAbout1301TA`T'-' _ ~ ,'~-,. ~ _ ~ C r* e.-~.. ,~`~~ t' ` -~ +~
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TO THB BTATIt Jt,ND OOUIi'1'Y T~ `-~A~.~ °„':. _' , .
~1'hia ~ 1~7 ~t~ ~ Dosnkil. eod~. ~ t1N Bute ~ Floeldu that I am lliius this dyr is
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a00ordan0e~ and in Cootor~kl with ChsD~ ~ Bastion •~.17~ Florida 8tatittM.
I was ioems~ +- ~ ~ident ~------- P,oiYtn pl.asan~ ~ tiv ~ erzsy .
(d4) ~ (fie)
and I resided at_------ _---- ~. ~ li • n.th ,~~......... .__. 1#o~w~vee~ I Lnw chl~d m~ d~~Oi1s
t84'~et ead Noeibw) ,
to and am and haw been a bona !We rsiWent ai tLe 9tsts of Fforlda gyros_.._...-_-.2~3.h~________dar c2
July - _ 181 .and 1 :wfds a _
port Piearce ~ ~~~~
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and this statement is to De taken as my declaration o~i dtiseoship, aQtual legal resideeos -and domicile in
the State of Florida. - - d ~o~rt~ ac -
ret=l~a~ib~ta a ~do~few. yaw ~l~rwil~~ of s~M7awt et
...
~ Establishing resideaac~
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1962 JlINN -4 ~11'i: 02
ROGER POITRAS. CIERK
St. lfiCiE C9UNT . fLORIOA
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I FURTHER CERTIFY that I wiU register at my local address when the resiatration hooka reopen,
and comply with all other requirements o! a lesal resWent of this State.
I FURTHER CERTIFY that I have no intenticrs to return to a4y former doaaicile, and I intend to remain
in_Eort/P_is]c~s_ --.-.-. St. Lucie --County. Florida.
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Betty lira uao,~~rried
Sworn to and subscribed bsioe+s me _ :. ... ;~ i .. .. .
_ i~_~'~' . A. D. 19.x. ~ ~ ~~ •- `J ~{~ ,~ :.f~~ . ;, _ .
ROQER POI , ! RCUIT Ca~~: ` - ..'.'''- ~ -
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w.ww e.N+s OR. ~t Ciq. r..