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• Declorotion of Don~~i~i!t~ip
TO 7'88 STATE AND OOUNTY- TAZ A88i~801i„
St. Lucas ~pZJNTY~ ir~p~,A;
This is my dee4ration o! Domkiie sad (whip fn tM 8tate os Flo:Wa tLat I am films this dy in
aooordanoe, and in conformity with Chapter 288, Sectioa x.17, Florida 8tatatea.
I was iocmedy a legal resident o! Pertsmeuth _~_____~,~_~. Ohi,n ...._._...
and I resided at._-_1224._Keudall-Ave~sue.-- •-----------------------. However, I have changed m,I- domicile
(BtrNt ead Nosba)
to and am and have been a bona fide resident of the State of Florida ainoe____-_-----Z-8t~1-- ---------------daY of
_ December _~`_~ 18---_61j ,~ I reside -at 1513 Citrus Avenue -
(8tewt ead Nnatber)
---_~____-_~_>cL~i~rce _, ___~~_ ._~~-_____.._____..--_Connty, Florida,
(Cab)
and this statement is to be taken as my decLration o! citisenship, actual legal residenos and domicile in
the State o! Florida. _
(IIneert ~ anl- pertinent taets. stleh ss sa4 e[ pert os boeinese. or relitquieLment et espio~~wat eat ,
former dnmkile, remonl os famlb a :new domlefle. ptur~pee a[ pomp. ea.)
Purchased a home located at 1513 Citrus Avenue, Ft. Pierce,
St. Lucie Countyy, Florida
more particularly described, as follows:
Lot 5, Block B, Revised Plat of Cobb's Park Subdivision,.
as per plat thereof recorded in Plat Book 8, at page 54,
public records of St. Lucie County, Florida.
1Ui834
RECDBOOK
~~
1962 JAN t 2 PM 12:59
ROGER POITRAS. CIERK '~ :: _`~
IE COUNtY, FLORIDA ~, ,•~•~•,.. ~.:
S1. lUC ~ ~ ...~ ,
:~ a
t ~ . ' ~+ r . `. ~'~~ .
+:~~Cl ' ~ ! to ~
.i~•1 fti;~~. .
I FURTHER CERTIFY that I will register at my local address when the registration hooka reopen,
ara s:.mply with all other requirements of a legal resident o! this State.
I FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend to remain
r
•
;r c,~`~ -'~~•~Ft~, 'Pierce _ _____-_ __-_--- _ St. Lucie _ ____Coun g'lorida
.~+~--- ------- ~t~ -. tY.
~• ~4 -
Sworn ~s.and.iuDecribed befoe+e me this__L_~ day at
,. ----- - A. D. 18~~
N
ICY
(7b be e:eeoted in a rand eeieillal N~ wki CMrI~ Qleait Cottrf. v>a ~tPlfala wki 11a~c Arweoe)
11...w e~eNr Ow. IMet Clt1. Ile.