HomeMy WebLinkAbout1302. 8~~~ 2fi :~cE602
Qeclvlrotion o~ ~~~~~~itizenship
TO THR STATB AND OOUNTY TAX A88~8808, .
8~. Lnoi_OOUit'i'Y. h'LOBIDA: .
. This ~ my declaration ~ ~omidk and G~tisenship in the State of l~lorida that I am Aline this day in
aooordanoe, and in ooniormity with Chapter 288, $eation 8>t~.17, Florida Statutes.
I was formerly a kcal resident of ----- ~(~) ..
(Clb)
and I raided at__.__._ n~-~:-- ----- ...--_.___--_----_-__.. However, I have dunked m7 domidle
r .~~ ~ ~~
to and sm and have been a bona Ade raWant ~ the State of Florida dnoe-__--•--14t-h---_----------.•day of
Deoy~_...r._, 18.4, and I reside a~..~ d ~• 4~.-~--~4!_4S.s._-- _____~_.:
- ~ . (8bwt apd Nnaber) ~
~.p~a+y+a _~ Bt.T-.~~ n -- -----Cownty, Florida,
(C[b)
sad this statement is to be taken as my declaration of dtiaenahiR actwl lePal residence end domicile in
the .Stat((e of Florida. .
tor~ doa~tef3~i- ~ tt~ ~~ to ~ dc-ste~e. ~i of 1ro~wr eN~t a~ ~D~Or~at ~t
E,otsrin~ Jean BogaerC in l'h3~rfl Grads
~.,-
:101553
..
~~~
1961 JAN -~ AM i I : 35
ROGER PQITRAS, CLERI(
tT. LYCIE COUNTI. flOR10~
~~
~s.rl a`iY~ ~ ~ ~ .1111/.....
.'
_ j• s
I FIJBTHF.>t C>&IiTi1~7C that I wilt r+eAistee at rnr local ~~ l-aa tlm r+ssistn-~oo'~oo~CS reoPen+
and oon-pb- wlth aU other requiraneats o~ a legal r+esidant o~ this ~ >-
I F'ITBTS>31i (~ that I lrve mo fntentlca to x+erarn to m0- tasmsr damid3e, and I iatend to remain
~ i~ Oamty, llorida,
- (Ci4) ~
D•
~_ ~jRrM;. ` - sY4 x. 40t~- ~re~ ?t.Pieroo, ~loriQo
. Jan 4 ~ ~'~ b~~e >~ tom.-~~-~ ~ -. Y
i ~ -
- +` ~;
.~ ~~ - - -
- ,~ _ -
N e~reerM~ iY! eai eeli~l!~ flei'i~ S~/It° . _ - , t~l!~R eiet- wWi 'ltis ~eee~s~d
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