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Decl;\tation of Domicile and Citi~eHlIihip
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ASSESSOR . .. ;; t'ACE 51
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TO ilH~ !iIAn: AND cour,"TY TAX
n l.UOE CO lINTY , )o"1J..ltllDA.
TIll. LA my dedauUon ot Dtltnk'i)tI ana CHlterlihlp ID Ih1!: Salt! of F10iliU lhi; I t.m film, tM. day In Il\'\.Vf\tltnt"t
f\nd In <:onlotmity lfith Chlpt\'r m. S+~tlotl 1'l'l-l1, }1011d4 gl>Jlutct
. Detroit
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to IU'W1 am f-lld h.a~', bMu a bona fide rf~ltiltnt of t04 flt.lf of f'!\)rld~ .~ ___~nh.~__.________ dAY of
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1010 h1pola Road
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t"Ol\T ?l,-:ncr:, SA Itrr LUCIE C"'OU!',,'i'Y. FL(;HlDA,
llr.ti tht.; fI3t~:11l'nt 15 It)!k IO~<'n u my tbd'fill,O!"1 of dll.l~IIIl; ip, IctU!;; 1~.1 resldt-n,-e ilr;l d'.:>minle in nIt' Sla\... or noricl~
(ll'ls"ft he!" i1:\)' p~ltln"flt t;3({1 AI,Fh ~l ul~ 01 pr~r\y N t,culnt!'.l. O~ r~llr,qullh!l1<:nt of tnlploymt'ol
at fom\tt domidlf., n'no-..l of fiA!!1\l)' Ie lIt'" tbml lie I' 'rd,,,',,' of home, et::: J
Intel'lng Joseph DuChene in 12th Grade
ft Wary Catherine DuChene in 10th Grad"
" William S. l.\1.ohene in 5th Grol'"
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f\lEO A~m .RECOROEu
IN .9'\~~o\ ~_~~! BOQK
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HOGER p~ln,~AS, C\f.\~
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Obtslning D.lvoro() and will try to rt'!gsin tbe nloime of' DuChene
1 F1.JRTJlr;.H Cl:nT!!"i' H.g! I will r~\$t~r ..t my loc "I lddrt'u wt".,. the ~ei ,jlr:lt:(:f1 b.{}u r(<Qpt-n. and <"OlTlply
WIth a.U olh-rr r~l'lil~m~r.\$ ()~ .. i~i:.' rN:d~nl of tnll Stlltl'
I fl'fiTHU\ Cf:nTIFY thll! I h~,'1' n~' I".\('nllon to I" turn to m)' IOllntr dOl.dellf'. bild I tntl'n,j to rem.IlI, in
rORT PIEner, SAINT LI)CIE COUNtY, FLonIDA.
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