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HomeMy WebLinkAbout0130 DecLuatiol1 of Domicile nnd Cit~]elliJhip 4 ~j I' . 1 ')L \ , ," .. _ .'__ J ~ 1'\; 1111:: S'fA1T A~f) COU/'.;TY TAX A~f:..';SU/L ,,' . ~T .,UClt: C\it::-'TY. i:'L01UilA Thl. l~ my de,d.fhIL:n <.d li.:.,:niclleo &!I.l ! 'Hinns}lIV III Ill.:' SIi<te o! FIMl!., d'AI I am filini thl. ':6)' in 1lC<"Q"\"'I~('<<' "I'd trl ('onfon(;l\)' with Chlpier ::-.rJ, S"K\lon ~..~.: 17, nOrld~ Sl.>lu!H I was f,:,rmtr!y II l~g41 tu:d~nl c-t Mount Vernon ~'. - _._--~-- (Cily) NoftU' Y 01-)( Sut~ Ilf~.1 I ftUkkd e \ -, 9 H&168 Place lh......e"u. I Ia\e ctul,n\iit'<.1 Ii:'<j \1Oinki!\> ~._--'-' -~-~ -~._------ - -~._._------------- - - I Sttfft .n<l N U!11"~r I t.l llf'~ ~ll and t'h\. ~n a t.,na f\(~.p IHI~nl of th~ ~l"te of FlorIda illl<:-e __n' ___}_~th_________ day ot 611-A South 17th ~t. ___'___~~..!...~ l~,~f.n- _,__ _, ~_____ . .9,6,2., an,' [rni<k.t UHfH1 llnd 1'; ;lint.>tcr I rOR, PIUtCt.:, SAINT l.Ocn: ('OL:NI'Y, FU!lUDA. Ard'thli ttllh:ml'l\1 t, ~'J t~ t..i<(('fl H Ol}' dE'danlon (;1 d,,~<,m.hl;.'. .eleHI k;;;~i r<'1'UeI\Ce aliI .:Lmllnll" In IL", Sl;\\e of ~':')flda IlnH'rt L("f~ ar,>' 1~:tiIW".1 (,FU, au h :,~ 111(' 01 jlt'-'l-wrt'i (of b\Hln<1-u. or 1~llO ,Jlst\lnrl'll or ('fn...k"ll~nl e~ f(;flr.~:( dnrnl(llf? ft*O:{J.:)1 o! farnl!;' to) n~~' u;yni de- t'L~fi_~r::1~~ (~r lH"rlH~. ttc ) Eri~I"i.1.\i: Jacqul'JHoo in t.he 6th j(r&.Ja a Joan in the J!:'. htgh Schoal I, lOS7:lG , III RC l"(VH1JHl f\LEG A.hu l.\,\jl~l \, orr1~ .cHi ' 1 0.".",," l;\..l,;\ \N no.: .~}J.., \qtl SEP \ it PK \' \ S c q r~' CQ"r.p PO\TRh...,\";' r\ U \.. ~ ,,~. l 1 t ) i f 3 . j :, ~'.lUC\t L\J..li' I, 1 ~ . " ~ ~).; .c. ~.~.. 'I l~ 1:.- I FVnTHUI. CUtT1FY ll',ill I will r~ll;tt'j' at my IOCfli l!'1Jrt:u w};("!1 tJH" rt1l:,!trall"!l b:-olL~ r<<:<}>C1, and ~n~.l:i ....Ith Ail (;t1)('~ rt-l'.J!remen\$ of . l~iill l~i;de,.t (,t thh S.4te t n.:nTHf,R CLRTIFY thllt I h;,'.'!" fl') ir,l~iitl(m \(. f('turn :iJ my Ivrm..~ domu:llt', "n,l t ilil('!..1 to ft'~nall\ in FonT PI~HC:f;, SAl;IT LUC1E C'OU1\1Y. n.oH!L>A. ~,(>t,nlilM:-,t:j, , . ~ "0 " , _ . ./11t u,~~ k ;€.A::-'.,_~~rfL e~-,!':..~:~- ~Aurice Wil~~~j ~ 611-A South 17th St. - _._..._._-.__._..~.......-.. . ....'----...- -,_.-'- -. -' Sworn to ~..d IIJ~'1r~ t4foH' fT>-'l \hit ,_,w>~1.J,-._, ,-,,,-,---. j$1 o! {kid,.-;'u 1 ' \. ' '~~l,t ",'L~l, . _~.~;,~::;=~~;~ ':Jl'. . L':~" '- -" v~~,. "-'#-4~~'" ',,--_.J.~- /- N~I.l'~k"'!~""",,! ~'l~.~w#.-..:, '~!""it ~,~~ t.ty (,~'''~'~,' C~"'f'~ A\ljf~}. ,196<, '" ,', I" "I fjo,.,..j"" i)~.... . ". ft;$!l...H- fl ;f,., "I, c....'f'll,;u,W. ",\ f>.p,lf;!l_______ '-'---':---"1r'.-f~'~'V'--' ..':, _.'- ../ 1 ir:I- \ '.,J ~ ..\:t. 'r! pI' I P .t'~~ i t[);'?J: ; ! - l PO fT1U. S /' CLum CIHC1::7 counT L' L ,~ j ,-,/- " ' <1 f.O ',tL /< ...- ~,./' ~:-(_A-t.~,..__,~!:=-"c-{:-t.-:::-,,--:-:, , DC :~iy fl'. k "',.....(q~ L'l ~~k:a~ J\~ ",'i$'Ii'U.1 filt'<! with t.1~0l f'lru:dt {~tt, i;.tW diJf:'<~" ~iI TTt~M~<fi