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HomeMy WebLinkAbout1903 ~ .Y...._ _ - ~ ~ . ' ~ t~laratio~ of Don~icl!• a~d Citiz~rtship TO THE STATE AND COUNtY TAX A5SE550R, 38~~33 ' S1. ItJCIE GOUNTY, fLORI?7A: - ' 1'hi= +s my detlar~tion of Domicile erxi Citi~enship in the St~te of Florida that i~m filinq this d~y in acoordancs and in tonformity with Ch~pte~ 222. Ssclio~ 222 17. Florid~ 5tst~etes I w~a fo?mNlr • fp~l r~sidlnt af ~ li8d _ .___~...~.IIt~._.... (Ciry) ~~tr) SO Ceoter 3trert •nd 1 ~hidrd at ?~awsvM 1 Mv~ thanq~d n?y domit~l~ ~ (S~r~t ~nd Numb~r S ~ 1 tv snd sn+ ~nd ~?ev~ bs~n a Ccs~+a f~ res~den~ al tM+s S~~t~ at fi~Fdi •~r.cr clay of An~ns~t ~p 43 ~ ~ ~N~ ~ 211 Gardenia _Street - ' {S~r~+t ~nd Nv~+~b~.1 _ PORT /IRCi, ~AM~T 11K~ C011NTr. i1~0l~A ~r~d th.s ~~s~++ ~ b+ r.ts*~ a• ~-+y d~ct~a~.c~> vt .~e~t~~~. i~Lfsr~1 i,s~at ~e~+~*~~ ~nd do+*+~trNr ~n rha S~ewr of Fk~ric~ t~ns~+f ?wr• r~Y p~s~t.^a~+ 4acft. e:,.hA r~ s,?=e~ ot ~srcr~.tY st t~u+~~, w:M.na~r~o?~++"~*u~ t~ s~+Qaoy}++~+~ " ' 4~+e'M~ tl~t~+~e•atrl~ r«eti;°yi? ril t~~,t~~ Fa !yrrr ,~~i;~ ~rrtl'Vi~ a4 l~erA+~r. ~k I ~Ctt ~~E3 . ~ t e r i a~ c h i i~ r ~ A ~ a~c l~oa 1 ~ sa.L.t„~.~.. SfP 3 l~ IQ : C~ ~ ~ Q«~t~tlt• ~!1 ~"1~'~lAtit~` ~ ~j`'3..)ai~j ~ :f;~: . . , I dae~~rer fn yi~.b 5~~01 . ; r _ ~:~?t~ - .~tl . +4'J,~~ .k~~. • ~ ~~f~l ~`l ~ e ~ :i ~ - ~ S 4 . ' ~ ~ y /-'z ~r i ; ~ ' ~ ~ tr~ ~ ~ , d~~,,d •h~y1~MY~~r ` ,y~ ~ f f€#~Ti~Ei C~:RTttY rhp ~ Wrz;; cxs~r~~ .v:~s s:' a~s. :~t~».~ro r~ •~s~ rsa.dw+t a~ ~ S~ets. t itatltYl'~3? C~~~?Ei t~w! t Merww r.:~ ~r~±a~+t~, i9t;-.n ?t;s ~6',^,t• 7i~'".,~;'e. P+~;# I:nte*x! ea r4rt?.y~n fn FC~1 P1ER~F. 5J?l?ii tt1~°tE C;i~.1t~Fr_ ftCi~:~l~. i~~.s~,e,°,r:~ . s , • . ~ . / i - ~ ..f' ' ~ 1 i . . ~ /t . S • • Y 4'~i ~ Y~~i ?..rV.+..a~'~ •.~Yr.„ ~ ~ .a ~~~A~1 _ ' ~ : . Ra~rwoa+d A~ ~ette~g~11 ~ • ~ " (Addr.s•) . , . \3 • . • . SwOtn tc~ ~aed wb~c?~b~d bofa+e me tfi~s dsy of . _ $~¢Lla~tt--- 19_...j.~ ROatR I~Q~T'RAS _ . : ~ . ~ ~~r Kotary Publit ey D.C. My Commission expiras -~~x~ - - _ Ro b~ ~~ev1~ in ehrpNeah and wi~inal fi{ed wilh ClMic Ciretiit Cou~, and dvplieatu wilh T~x A~wor.) ' ~',OK~~6 ~O1 3 . . Y~ ~