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HomeMy WebLinkAbout0043 # . _ . ~ v. . i._ ~ . . • . . ~ M~~Y 1• t '~y~A~/~?i~~ . ' ! - ..a:. . . .....r.,-a'• . Oectaration ot Domicil~ and Cltise~ship ~ F ~ TO TNE STATE AND C'OUNTIf TAX /155FSSOR, • 132257' sT. ~udE cow~mr, aatio~ ~ Th{~ is my d~da~ation of Oomicite a~+d Cit~nshtp tn th~ Sat~ of Haida Mut 1 am flilnq thts day in .aoord~no~ a~d te c~onformity wilh Chaphr ~2Z. S~ction 42Z.17, Horid~ Stahihs. ' . ~ 1 w~s formerly a Ipal ~id~nt of pitevilie • ~entuck~ (CitY) • . ~ ~sfr) I P.O.Hox 803 E ' and 1 naW~d at 1~bw~vK t h~w cha~ped my domWl~ (Stnst a~d Nun~) ~ b an~! am and Mw bMn a bana fid~ ~esld~nt of th~ Stats of Florida ~ino~ 16 day of ~ ' December 19 64 3808 Avenue R , ~nd 1 roside d ' - (StreM and Number) . rooaT n~, s~ u~ couNtY, aoRaw ~ . ~ and this statwlwnt is ro 6s taken ~t my dedaratbn of cit{z~nship, adual le~al rKidsno~ and domklle in th~ Std~ of Horid~. sW ~ pn~ut her~ any pertins~t fxts, :uch a sak of properiy or bu:i~tu, or nllnqu t of anployn~nt ' at formsr domkile, rarrwval of family to nsw domidle, puahas~ of hom~, Nc. BoteriAg daughter•in 8th ~rade ~ ~ i ~ 132,25`7 = . ; . . ~y~R ECi pE0 ~ - ; ~ ~ ~icial-Reco 800K { . . , , ~"v~""'~ 1965 JAN -5 aM I1: 03 ,,,,,c v~4,~~~ ~~G~ r~`±~ ROGER POITRAS. C~ERK ~ : i St. IUCIE C08N1Y. flOR10A ; . ~ l ~ . - . - - ; sA ~ t' ~ . . - . _ . ~ -'k,;~^-/[~r t1 • ~v ~ ~ Y~ ~.1.RIRTHER CERTIfY M~t~ 1 will wNh aU oth~r Ip~l nt~d~nt of Ihy Sqtr. ' ~P~y nquintn~nh of fl - ! 1 FURTNER C~RTIFY tfiat I haw ~o Intention to ~etum to my fom~ dom{t~i~, anc! I IMe~d 1~o rerrwin t~ fORTc ~ PIERC~ SAlNT WCIE COUN?Y, RORIOA, psrmansntly. . - ' ! -4V~t ~V-••,' . / " . # : 4~Q`a~~'~" ~t ~ ~9~ s Q~u+~) : ' ~ :,~3 _ ~ ~ ,~i: > . - ~ . . . Yath ; ~ . • ~ erine Robinaon F ~ ~ - ~ : ~ . t~?dd~.~a . ~ . ~ c ~ ; . ' ~Nwn•ro and subscr~bsd b.for• m. thb s ~ ~anuar~ t~ 65 . f ~ ~ ~ , ~ Nata 'ry Publk ~ blt D C. Mx Canmis~ion ~cpte!~t . , R~ b~ ~uae~ M drpNca» a~i ~ioi~~l Al~i wMM; CIMk WaiM Gwt, a~ ~Mew wNM Tia~ A~~~ ; ~ . BOR~ /~~O PAGE 3J ~ ` ; . ~