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Declar~tio~ ot Dorr~ictle and Citizenship 13344~
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. TO THE STAT~ AND GOUNTY T/lX A.SSESSOR, '
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S~. lUC1E GOUNTY. FLORIDA: .
Thia ls my declsration of Oomicils snd Citisenship in the Stat~ af Florida thst 1 am fllinq thit day in aooorda~a ~nd
in conformity with Chapter 22~, Saction 222.17, Ftorida Statutes.
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1 was fom?srly e legal rosident of 6enter, 8ach ~Lo~jsland New York ~
~ Kity) (Stah) Ei
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•nd ~~tdsd at 53 Oak Street ~
' . However 1 have charped my don?k1~e - ~
(Sneet and Numbsr)
b~nd am and havs besn s bona fide ~esident of ths Stats of Florids sinos 6 day of ~
~ ' Aebrua~~ , 19 65~ and ~ res~de a~ 1007 S~ Iadian R~tver Drive ~
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fORT M~C~, SA1NT LUCIE COUNTY, lLORIOA '
and this staten?ent is to be taken as my dxlaration of cjttzsnship, actual legal residenoe and domidis in the State of Horida.
(Inse~t hero any peninent facts, such as sale of property or business, or roHnquishment bf employment ~
at former domidle, ~emovsl of family to new domicile, purchase of home, etc.) ;
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Establishign residence t
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~ FlLED Q~lD RECOROEO ~ = ~ . - . ~
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1965 FEB ! 9 PM I: 04 - : ~ ~ ~ ~ t
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ROGER PUITRAS. CIERK 'r~~''~~`~'~~'~~'a~'~ ~
St. IUCiE COUNTY, flORIOA ~ 1~~..••'~~ '
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i FURTHER GERTIFY that I will aomply with sli othsr ~equiremants~of a lepai rosident of tfib State.
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I FURTHER CERTlFY that ! havs no intention to retum to my former domi~le, and I intend to romatn in FORT ~
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PIERCE, SAINT.LUCIE COUNT1f, FLORIDA, permenentty. , ;
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j~ . (Name) ;
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y .:~1 .'1,~1 t~~ ,
, y_.-i,:~ ~ Buripides Rodriguez
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r:~'`~ ~ 19 Pebruary 65
. ~ V i ~ f5~n b~nd wbsuibsd bsfon me this deY of 19 . ~
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ieoaae rom~?s i
CIRCU COURT Notary Publk ~
df? D.C. My Commission expiros
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dvpqeah~ aid al~i~l fiMd wMb C1~Ic C6wiN Cew~, and dupliatr wila Tavc A~~ey
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