HomeMy WebLinkAbout1967 f
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D~cia~ation ot Don~lall~ ~~~1 CIllsMShip !:123i~` i ~
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ti'O THE STATE ANO COUNTY TAX ASSESSOR, ~
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This is my d~dantlon of Domidl~ and Citi~nship in th~ St~t~ of Hortd~ th~t 1 sm Hfiiq this d~y in sooord~na and ~
in aonformiy with ChaptK 22Z, Seclion 2~Z.17; Florida Statuta. ~ _ ~
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_ wil~ingtoa Dslswars
I w~s fornNrly a Ipal ~id~+t of ' ~taa) (
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iZv S. aroos ~yrvsti
snd 1~id~d at Fbvwwr 1 haw d~q~d my dankil~
. (StrMt and Nurnb~)
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b~d am aK! haw b~ a bona fid~ r~sid~m of tlk Stab af florida stna 18 daY. of
~ l~ebruary ~v 64 a~d ~ ~atd. a? ~~g~ $23~s~at~ A~a~.~e ~
. (StnM ~nd Numb~r) '
- lORT M~Cl, SAINT ltK.~ COtINTY. RORqA
and this statumsnt is ro bs tsken as my dedantion of dti~~ip, adud Ipal r~id~na ~nd dom~dl~ in fh~ StaN of Florid~.
qraert hsn any pKfinsnt fads, such u sal~ of propert~r or businas, or nlinqui~m~nf of ~nploy~nt
at forn~ domidls, rwnoval of family to n~w domkil~, purchsse of har~e, etc-)
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~ering 8uth ~Ann Rsoe in 4th Grads 12~~r~ -
: " James Raas in 3rd arad~
F~EO ANO RECOR~D •
~~~~t~~~~ ~-~e1-~~;c~.800K ~
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~ ~ `'r~~" ~ ~ . ~ 196y FE8 2S PM IZ: 41
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~ ~ ~ ROGER POITRAS, CtERK ~j
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~ • ~ ~ ~ ~ ` ~T. LUCIE COUNTY, fl6RIDA `C -
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1 RJRTHER CERTIFY.that i wlll ~
ail a1hK nquu~ments of ~ Ipai residsnt of this Stat~. .
1 fURTHER CERTIFY that 1 hav~e no iM~ntion b ntum b my fiamer domWl~. a~d 1 iM~nd to ~in in FORT
~ PIERCE, .SA1NT Lt~IE COUNTY, FLORIDA, permansntly.
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s~om w.~d wbsct+b.d b.tor• ~s - 25 l~sbruary 19~
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C. M~? C~o~r~ni~o~+ ~xpi~s
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~ (Ti w~oaw~i i~ d~caN aMl ~i~Mrl ~i wMr CINIc CfraiM Gwb i~d ~~rNM Ta~c Ar~~a
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