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~ ~~cla~ation ot Oomictle a~d Citisenshlp !
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133566 ,
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TO TNE STATE Ml~ COUNTY TAX ASSF~S4R. '
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ST. WCtE ~'OUNTY. FLORIDA:
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Thts is m~r declaration of Oomicils ~nd Citisen~ip tn the Stat~ of Florida th~t I am filirp thit day In aaoon~ano~ ~nd !
in Qonforn?i1y with dNpter 4Z2. Section Z22.17. Fforida St~hit~s. '
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1 was formKty a leqd rosident of B~=*imore Maryl~.nd ~
(Ciy) (Stab)
~t Route 10 Box 689, Bsywood Trailer P~~ t h.wchsrqsd mydo~nWl~
(St~eet and Numbsr)
io ~nd am and haw be~+ a bona fWs resldent of tha Stata of Flwldi sinoe ~ day of
~ •February 65 3001 S. 4th Street :
, 19 , and t resid~ at ~
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l~ORT NERCE, SAlN? LUCIE COUNTY~ RORIDA . .
utid this stat~msnt is to be taken as my deda~stion of citiunship, actual IsQa! resWenos ~nd domidle in the Sta» of florlda. `
prisert hsr* any psrtinent fects, :uch as isle of property or bu:iness, or mlinquishment of employrnent
~t former domidle, removai of femily to new domidle, purchase of home, eh.) ;
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. 133566
Bntering childrenc in 2nd and 3rd Grades .
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; - ~h FiI.ED AND RECO~DED ~
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~ 1965 FEB 24 p 2
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~•'_;G~~,•. ~ ROGER POITRAS. CIERK E
. ? ~ . : _ ST. LUCIE COUNTI'. FLORIDA 't
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' 1 FURTHER C~RTIFY th~t 1 Wtll aomply Whh all otfisr nquin~rwnh of • lepal r~id~nf of thb Shh.
1~ FURTHER CERTIFY that I hava no intent+on to retu?n to my fom?ar domidk, and 1 tntend to remsin In FORT .
PIERCE, SAINT UKIE COUNTY, FLORIDA, permsnently.
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. - - ; • Mrs. william R.Hall
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. . Sworn ro~nd wbscrtbed bsfor~ m~ thh 24 ~y Pebruarx , 191~.~
RONiER ~OfTRA: •
NR ` Notary Pubik .
~at,u~Q~%~ . •
d~? O.C. . Mr Cornmts~ion txpire~
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