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HomeMy WebLinkAbout2439 ~ . ~ O~IaI'itlQ?I1 Ot DOMf1C~1! ifld ~iitlSMlshlp . ro n~ sr~~ ~wc? oou~+r+r t~x ~ss~soR. 13~2 . . s~. u,c~ aou~Y. ao~+or?: . . 'rhit h m~r d.d..atbn oi oa»idl~ «~a owsmhip in M» Staw of Hatda thN ~.r~ filhq Mas d~? M.om~dM+o. ard ~ M confo~ily with Ch~pt~ 2rl. S~ctbn r2?.17, Horlda SAatuta. 1 w~ foren~rlY a Ipil r+~id«+t of 1 , Ne1i1 J4~ta4~ - (~3t~?) . l9ta~.~ Lsarel Lsl~e _ ~ ~ ~N # and I r~std~d •t - 6 (5t~t and Nur~b~) ~ ~ ~ b ad Mn ar~d haw bs~et a bor?a fid~ nsid~M of th~ ~tsh of Horida si~w -~th diy o~f ~ . ~ °,/~i ~i ~,r:~ r~~ _,,9~..., _«~a ~~w. Rt a x i~o . cs~..~ .~a ` ~ r~r s,?srr waE c~ouNrrr. Ro~~ ~ and this staNment is to !a~ tak~e+ as my dedarstion af citi~nship, ~ctuai Ip~l riaid~rra? and daimkib in th~ Stat~ of I~ori~d~?. ~ ~ qraKt Fan an~l pertirna?t facts, wch ~s sal~ of proparty or busir~, w rotinquishn+~nt of Mr~ploym~r?t ~ ~t formK domidi*, nmoval of family to nfw domkil~, purchis~ of ta~'+~. M~) ~ ~ ~ i Bntering Dsr~rin Siives in the 10lh grade ~ , ti ~ • . . : . . 135392 . ~ ~ . ; ~ ~ . ~ - ~ ~ ``'4`,if~l~c1111f.~~~.rl` ~ . i ~ ECDR ED ~ } ~ ,,.`4c, J~~,~,~G~,~St ~ ~OOK ~ ~ . 4 jS `~~~~G~`i'y' . . ~ ~ a?»~ i 1965 QPR 30 ~ PM 12: 5 ~ ; . s - ~ K ' ~ . : • A , ~ ' = pa~TR s { ; : . tir ; ~ ! b`r~:;l " ~ }~v; ~V L't A°~.; o.•.F s O~ ~~E ~oU~ITY. f ~oR . ~~I~ ~ ~ `0~, . U~ G ~ ~ ~ f~~qi»it?i~n~~`, . ,F ~ ~ . . ~ . . 1 R1RT1iER CEitTiFY that i wil! connpir wlth sll athe~ r~quirsmi~b .of • i~pal ~Id~M of fhb Stsh. + 1 FURT}!ER (~RTiFY that I haw ew intention to retum to my former domidis, srx! 1 i~eer~d ~o nmaln in FURT ` PIEitC~, ,~1?ft+f~t,t~Ki~ COUNTY. FLORIDA, pem~nsntly. w • ~ ~ ~l,'~+:C r~'?.;''s ;'~r C~~~,..~.,.,~ ~r.' ~ . t,~(,~ . r~ r'~~ : ;1~ ' ~ ~~~~y Mi111lj t ~ ~~'~r~f "y ,Jsnet Siiver ~ ..t• ~ l . ~c. r:t' f~,~ r )t' ..y ~ ' f4~;~. . ~ . ~N • : ~ rf~~i~:.~ ~ ~ ~ .M.`i~dif ~\4.'' i i ,''~4~~~.)~,~t1111~af~~.. ; •.~11 ~Y ~ ~ ~ AM ~fl~ ~O~fi - .~su ~ A~ril ~-rr ms~~~ ~ • i ~w~ ~ . ~ • ' ; ~ } ~ ~ • - ' e ~IItC111T w~g~ N~? Pubik ~ ~ I~.G ~x~~ . sr o.~. ~ ~ . ; ~ tf. a.~...M.~ 1~ ~Iie+M~. ..i~i~~i lN~i ~Nb a.~rk a~wi~ ,.~wl ~li..~t. wiN~ T,nc A.......a . t ~ • - . • ~ - ~ "'r - - _._.Y._r.......~..~..n..., ____.__.._.._.y_.T