HomeMy WebLinkAbout1316Declalrotion of Domicile and ~~tizenship~oo~ 26 -
P~r~616
TO THT SfAT>~. AND COUNTY TAX AsSB~]SOR`
Lucie tXIUN'1'Y. FLORIDA: ST• LUCIE COUNTY. FLA,
e«
This is my dacLration of DomicUs and gtisenship in the State of Florida that I am ti>ina this day in
sooordance, and is conformity with Chapter 222, section 222.17, Florida statutes.
I was facmerly a 3e2a1 resident of_~AncaaLeY' --..-- ._ t8 ~Q ~_d..~.----,
taa~ tst•~•~
sad I resided at----------- ---=----- - - ----------. However, I have chanted my domidle
-- (StrMt sari NumMc)
to and am and have been a bona fide rceWent o! the State of Florida aince_____-- -12__________________________day of
August ~__~ lg 61 sari I reside a~_$4~1i~~_-I~x~ 2761~~6_ __I~kaxnnd_ PBr_k
____~_-- (Street and Nnmbr)
Fort Pierce _ St. Lucie ._- ~_Couaty. Florida.
_ - cave
sari this statement is to be taken ss my declsration of dtisenahip. actual lesal residence sari _ domidle in
the; state o! Florida. ~ -
forever d~cih os tsm 1~~to n ~domielN. ~ ~ a[~ o~i~ ~ji0~j ~nisba~at ad ~Ploymei at
Mr. Usher is sun •lien having entered the.Untted States on August 12, 1961
intends to wake his hone in the United States and to apply for Naturialization
and to make his residency in Fort Pierce, Florida
1Ui562
.......
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f~.ED AND REC ! BOOK
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1961 JAN 4 PM 12
ROGER POITRAS. ClER1(
ST. LUCIE COUNTY. FLORiOA
Q
as soon as it i.a legally possible for hiai to do so.
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I FUBTSB.H CERTIFY that I will resister at m0- local addt+eea when the re=istration hooka reopen,
and ooanply with sli other requiremetats of a lesal resident of this State.
I gUg~gR CZl;RTIFY that I lave ao intention to return
~ Lrort Pierce - -----. --~
tab)
iosmer domidle, and I intend to remain
'~ Z UIs111nEttdb Ja~da Maher
t~>,
Swoert to sad subscribed bda~s ass this`..-.lr.~.lidsl- of _ . .
J eWUar]- - - A. D. if~.....~ -
Ro Poitras clerk - .
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{ C!y 1i emeeeesd ~ ~ eel !Mi wleti t7latit ~rw1t~-t7eeet. s~i iAllMte w~ ~ ~ee~eeu)
~.,.,. s.ew a-. ~ cw. s+..
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