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HomeMy WebLinkAbout1333 r. . ~ Decla~ation ot ~omiail~ a~d Cftts~nship ! ~ ~ 133~4`~ i ~ TO THE STATE ANC C~OUNTY TI1X /1,SSESSpR, ; ~ ; ~ ST. tUC1E COUtVTY, FLORIDA: . ~ ~ ~ ~ i This +s my declar~tior~ of Oomlcits ~nd pN~hip in tM Stat~ of Florida that 1 an filirq this d~y i~ aa+ordana_ and ~ in oonformity with ChaptK Z~~, Sectlo~ 22Z.17, fiorida StifuMs. 1 was famerly a lepal resident of Dincsinnatti ~ ~ Oh1o . tC~N) (St+t~) 4806 Greenlee Ave. 3t. Bernard 1T ; ~nd 1 nsided at HowwK ! haw chanp~d mI? domWl~ , csh«t .rid tw,n+M.) ~ ; to and am •nd hava besn a bo~s tlds rosident of the' Sht~ of Florida sinoe 19th ~y ~ ~ ~ ~ 64 at 2 Boz 3472 I~ewood Park ~ July , t9__, and ~?~lde a ~ - (StrMt and Numb~~) I~ORT M~CE, SAINT IUCiE C01lt~Y, RORI~A - and this statement is to be takert a: my decluatbn of dtizsnship, actval Ipal raside~+os and domidle in th~ Stab of florida. pnssrt here any peninent fsds, such as sale of properry or buii~eu, or rolinqui:hmsnt'of emptoymant at former domklls, removal of family to new domic~le, purcha~ of twms, ~tc ) Eatabliehirig reeidency 1~~~ ~ ~ ~ ~ ~ ~I A ~,~eOUK - ~ ~ ~ ~ p~ . . ~ - ~ - . , . , ` y ~ ~ C~~ i~, • ~ ; t~~,~:'•~. a,~ 5~'~ pM ~:16 . ~ ; ; , , .~p~; 196 - ~ I ; ~ : ~ " ~ ? = RpGER pOITRA f,10~~ • r ~ t ; ~ ~ ~ . ` , ~ : ; at. IU~~E ~d~N~'1• , . ~ ~ ~ ~ ~ ~ Q ~ . . ~ ,~~~~~~Ctra~nC``~~~``' - - • ~ . ~ ~ - . - t I FURTHER ~dtTIFY thaf 1 Wiil oomply Wlth all MI~ nquitNrMMs vf a Ipal raid~M af thh Sfah, ~ 1 . ' - , 1 Fl/RTHER CERTlFY that ! have no inteniton fo retum to my former domWk, and 1 tnte~d to remain in FORT PIfRCE, SAiNT LliC1E COUtVTI(, fLORiDA, psmnenen$y. - . ' ~~~~H~~ ~~~,r,s',,' . • • w'_ ~ . . ~~J~ iA+wi J!a Wl i~~a.~ ~ ~ . ' ' ~,,,~s ' . ~ p,~~. ~i iam" C,~ Yiller ~ ; , ; ~ ~ w _ ' ; = ~ ; _ . : . • ~ ~ R ~ ' ~ ~ ~ ~ , , . • . Catherihs . ~ . ~ ~ ~ ~iller ~ '~.,~~i,: ~t ~~~~li~M i~~,` tb~d bsfor~ n~ tfib 2t~d day of F~h~s~,~w ~19~. ; ~ ROOER ~OfTRAS ~ . - i ~ ~T • Notur Pubik i ~ ~:C. Mr C;ommiuio~ ixp1~ ; . • ; , ~ R• b~ .oc~aNsi iw d~lie~M. a~ Mi~iw.l Hl.d , a~i ~IieM~ wilb Tas /1w~~ .f ~ ~ ~ ~V PAf.f ~e~ ~ . . . ~