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TO THE SPATE /W~ GOUKiY TI-X ASS6~~R. _- -
St - . FLORIC'A' - ~ .
M tho StaN of Honda th+t l ant filirq tltb dq in aoooniana +~
Thb b my d~edaration of Dontkib +~ CI11aan~P .
in conformity with Chapgr ZlZ, Stxiion x•17, Honda Sta/utea.
1 was formerh- a opal reslderM aif------------~-- ~- ---------------• ----~r~ rY-------
~ ~ - domidb
--? q~ ~T---- ---____-• -IoMrwer, 1 Mw changed my
and 1 resided at ___------ ~ --------
day of
to and am and haw been • bona fide resident of the State of Florida dnoa___--__-~L~'L_-___~-_------
_ 19 ~~ _, and 1 nnWs at. __-~T ~Q~t~_.~Y~A1illL_-------
----------------~i~uua~-------------- • Port ~
3t~ aOIX~.-.~__s_--_ \w{iHnty/ F~VfR01
and this statement is to be taken as my declaration of dtizen:hip, actual b+pel resldenoa end domidle in the Sta» of Florida.
. w twrYwiM, a n~M,q~K °r ~"~ M ionwa doniciM,
q~wrt tww an)r PwtYr"t f'ct'. nrd' as wM d propc~M
r,w,ovd of frnihr to new domictb, Purclwc d tawM, McJ
Bought hose and wish to eatabliah Residency
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..,.: ~~~M ••• ~ •:~ 22 P
~ 962.1 ~
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1 FURTHER CERTIFY that 1 will register at my local address when the registraYan books reopen, and comply with all
other requirements of a legal resident of this State.
I FURTHER CERTIFY that 1 have no intention to return to my former domicile, and 1 intend to remain in
- ~~ 9 ,i •
. ~'
' ~. ~ -
••.:..
fit. Lucie __ County, Florida,
_ ~ ~11 - - ------------------
Vahan De~ir~ian ~~
~' °°••...'~~~ ~~ "'~ ibed bef the this__~_____~~-d-----day of
S n to +iw~usl~3cr off, - -----
~~~ //~/ •
-'- -- ROGER~ITfi-5. CLERK CIRCUITCOURT
----JanuarX---------------------, X962___
---~----Notary Publk `------
_-- p,C, ~' My Commission expires--------------------------
(Tw M ~wadcd r ~ ~ «~~ tt~/ wM CINk Ciwca dcrb ~ ~w MIII- ?rc An.~.d
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