The URL can be used to link to this page

Home My WebLink About0284 ~ . i32412 ~ ~ ! peclaratton ot Dori+icite a~d Ch~s~~~ip ; . To ~ sT~~ ~wu couNnr ~~x a~s~ssoR. s~. wci~ cou~nr. aoa~~~?: ~ - .~a kile and Citizenship in ttN St~t~ of Hor{da 1fi~t 1 ar+ flliny Ifils dW ln ~ooorda~+~ This is my dacla~~t~°'~ of Oo~? ia oa?~rr?1h with Chapter ~2Z, 22~.17. Horida Ststu»s• , a+l?~ ri? a Henrioo Oount~ xiohmond~ ~s~) ~ 1 wu formK~Y • ~~+1 rt~id~nt of iCi1y) ~ . , I~bwwK 1 haw da~+~d ~'"Y ~0f'^~t! _a2~g lbroolc 81cl~caond • and 1 raided ~t ~ (Str~et and Numb~) • ~~t d.y ~ w and am ~+d hsw been a bon~ flds re~ids^t of d~e Stat~ of florid~ sina gt. 3 eoz 190 B pa?rl~ra aroves S ates A1i6ust 19 6 4, a n d 1 res i d~ t a n d N u a+ b~) ~ lO~T ~A and dar?iciN in tM StaN of Hortd~• 1 lepal ~ssidsna and this st~tan~nt is to be taker~ as my dec~sntio~ of dds~enshzP~ +d~+a ot businsss, a telinquidu'4d~t'of ~mp1o'fl~t ~ r~ent facts, wd? ss sala of Pr~tY • qras~t fisre any P~ ~nicile, purd?ase of hon+s, e~.1 at forrns~ do~+~l~• f°rt1OYat of famity to nsv~? . ~ew Domioile ~ ~ , ~ ~ . . _ , . . ,~~~~~~~~~U~~N ~ ~i.2 . . 09 . - ~3 " ~ ~ ~ _ OE~O~ ~,r~; . • rt - ~ gti ~ . • . : ~ . - ~ ~ ~ p~ ~l: 39 ~ r ~ ~ ~ 1965 i'•• ~~t ~ ~ S CI,E~K 4 ''~•...~•~''f,D~` apGER POIT.R'~ • . L11CIE C4UN~'t• flOR18A ,~~~`''~~,~~~lu~+~'`'~~, S~. t ; ~ ~ f ; " ~ " 1~ O~f • ~ ~I~M1t O~ 1~ ~t~• ~ 1 fUR?!~R CERTtFlf il~t 1 w1U aomPtY v~rih a11 ottwr r~quU'~"~ : . forma domidN' 1 M~ ~O n tet ~T ~ ; . 1 FUR~HER CERTIFY th~t 1 have no intention to rMum to my • e PtERCE. SA~NT Ll1C1E COUNIY. fl-ORIOA. Q~~~^~Y' i. ~ on 8tg le rris ` ~t~u„e ~ . ,~~~u~~u.,,,.. ~ . CO. ~ • ~ `~~~G ~ . . ~ , . _ . . . . € `v`~~~~~~ ~ ~ ~~1'oG ~ = wddnw? ~ 4 + ~~~~~t ~ i9~r ~ : •'..i r.~.r; _ _ • : ' 1~~ d. af , ~ y, J? •ti ,,r 4 Y + ~ ••.••••••~~?lo ard wbwib~ ""s this : . t . U~ E 'i t ~ ROtiER ~ ~k - ~ ~ ~ - ~ntubn ~ . D:C. My . ~ ~ " t , ~ i pMd wNb pKk t','ire,tiit rww~. aw~ ~'~I! ~"'~M Trc IIiM~~ ~ a• ~..~»d ~ ~ ~o~i'~ 10$ ~280 . - I ~ - - , . , . .