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Oecla~atioa ot Dornicfle a~d Citfzensh~p .
TO THE STATE AND COUNTY TAX ASSESSOR, - ~83Q3 -
ST. LUCIE COUNTY. FIORIDA: ~ ~
This ts my daclarstion of Domidls and Citizenship in the St~te of Florid~ that 1 am filinq thtt day in aoo~rdana and
in conforrnlty with Ghapter 22Z, Section 3Z3.17, Florids Statutts.
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I was formerly e Isqal rostdent of LOC~Q~' _ NL+'~11 Y01~'$
(ctty) (Staro)
•~d ~ rosided ar ~ 109 Cen~ar St1"eet Howevar 1 havs charqed R?y domidle
(Sttaet and Number) ' ~
~ ~o and am and have been a bona fids rosident of the Stats of Florida sinoe 18 day of
J'une ' 6~ 119 aardenia Avenue
l9__, and 1 resids et
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l~ORT rIERC~, SAINT lUCIE COUNTY, RORIOA ~ .
. and fhts statemsnt is to be taken as my deda~ation of dtizenship, actual IeQsl ~esiderxe and domldle in ths State of Fiorida.
~ (Insert hers any pertinent facts, such ss sale ot p~operty or business, or reifnquiihment of emptoyment
: at former domidls, romoval of family to new cbmiale, purchase of home, stc.) ~
~ : ~Lering ~ ldren sn schooi 1283Q3
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Riohara arimea in h ar~s ~E~ A REC RDED
~ Dougiae aMmea in 6th arade ~
enon .
; - . 1964 AUG 19 pH 2: 01
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OGER POITRAS, CIERK ;.a : ,
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. St. LUCIE COU:V r. F14RIDA r_~,
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1 fURTHF~ CERTfFY that ! will ~p~y w~
ell other roquirsmann of a tagal rosident of this Stsb. ~
! FURTHER CERTlFY that 1 hava no Fnterntlon to retum to my former domidle, and i intend to romain in fOitT ~
PIERCE, SAINT LUCIE COUNTY, FLORIDA, pxmanently. .
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• ~'~`"r ~ . ;,s' s ~ (tVams? .
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. i f`•;` .;~,j;~! Mre. I,yman H. t~riIDee
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( ~ Sworn fo and subsuibed bsfore me this 18 dsy of AL ~a . ~
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CI~JtK CUR C ~T Notary Pvbik .
~f? D.C. My tommission explres
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r (To b~ uc~a+tad te d~ptieatr and ai~eai Alsd whb q~eic prark Co~rd, i~d dvpdal~ whb Taot J~era .
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