HomeMy WebLinkAbout1939 ~ ` At
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D~la~ation ot Domicll• and CitlsMShip
.13?3362
TO THE STATE ANO C~OUNTY TAX ASSESSOR.
ST. WCIE GOUNTY, aOR10A: ~ ~i
Thb b my d~dantion of Oomidl~ and qtiz~ship In tM Stat~ of Horida that 1 am fili~q thit day in aaoondana ~nd
i~ oonfamHy with ChaptK 22Z. Sectio~ ?22.17, Norida StatuMs. ,
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1 was form.rly a Iep.1 resident of Chic~go Heights - Illit'lois '
(Gty) (St~h)
a~d ~~d.d ,t 611 H~late~a Street ~ow~,K ~ haw chanq;~, ~„y domtdl.
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b and am and haw bwn • bona ftds ~~side~t of the Stsb of Florida ~ino~ 4 day of
~ Septeaber 64 112 Indian Hi11s Drive
, 19 , and 1 rosid~ at
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I~ORT M~. SAfNT LtlCIE COUNTY. fLORtDA ~
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and this staterr~ent Is ro bs teken ss my declaration of atiz~nship, actval Ipsl r~ideno~ and domidls in !hs Sta1~ of Horida.
pnsert hen any pertinent fsct:, such e: sale of property or busine~, or nlfnqulshm~nt of employm~nt
at former domkile, removal of family to new domidle, purchass of hane, ~tc.)
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Bstabliahing resi~ence :13~6,2 ' ~
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Q~"cia~~~~ . - .
~OOK E~ : • ~
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ROGER POlTRAS. ClERK ~ ^ ~ `
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ST. IUCIE COUNtY. F10RIDA ~ ' ~
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i FtJRTHER Cf~tTiFY that I wili oomply wfth ~II othsr requl~~m~nh of a i~p~l rKtd~t of thlt StNr. -
1 FURTHER CERTIFY that i have no intention to rotum to my former domidle, and 1 IMend to ?emdn in FORT
PIERCE,~ SAINT UlC1E COUNTY, FLORiDA, permanently. .
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. Joseph Stim ley ylichalel~
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l v-- . swo~n ts`.nd b.d b.to~. m. tfib 16 day of . , t~ 6 S
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~ ' Ctl~1~ CONRT Notary Pubik
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b1? D.C. My Co~rmluion pcptra ~
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. R~ r..~o.cw.i i~ d~ppeal~ a~i ~t~tMl A{.~i wNl~ G«k pi~ab Gw~, awi ~lie.l. wilb Taoc I1w~~J
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