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D~aia~aao~ ~f ooinicl~~ and cit~~nship .
TO THE STATE 11NG COUNTY TAX ASSESSOR,
51. ltJG1E GOUNTY. FIORIDA .
Thts b my dedaratio~ of Domicils and Cit~nship in tM Stat~ of Florida that 1 un filinq this day in aooordano~ ~d
i~ conformily with CMptK 224, S~ction Z22.17. Horida St~tuhs.
~ w,= ~~y , ,~~,t ~ Chicaao aidgs Illinoia
~ . lCity) (Staa)
~ ~ ~t ~ 104 44 Princeae 3trest . ~K ~ ~w ~„y
lshe.t and Numb.r)
to ~nd am and have bsen a bona fide ~id~nt of tht State of Florida sinoe OCtObsr 13 d~y of
~q 68 775 Airoee Blvd. Ht. 3t. Znoie
(5tre~t and Numbsr) ~
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l~ORT f~Al1iT t1iCtE CO~MITY, NARqA -
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and this ststemsnt is to b~ tak~n as my dsdaratan of dti~snshlp, aduei leQai reiidanas and domidls in ths Stats of Flortda.
pnsert hs~s any pertinsnt facts, such as ssle of property or buainess, or nllnqui~ment of employm~m
at formK dankile, nmoval of family to new domiak, purchas~ of Fwme, e~c.)
Plaoing ehildren in publia echool - John, daaies,- de!ler~
~ ~ILEO AND FtECORDEO
ST, LUCIE COUNTY FLA.
RE.COF?n V£RlFI~D
~ 17Z22~
'68 OCT I 4 AM 10 : 5~
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~ ~OvER POITRAS
CLERK CIRCUlT COURT.
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1 FURTHER Cf~TIFY that i will comply with all oM~ roc~uir~rwnts of a Ipel r~idsnt of thb Stafa.
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I FURTHER CERTIFY that 1 have no intentron tc retum to my former domicile, and I intend ro remain in FORT
PIERCE, SAIIdT Lt1CIE COUNTY, FLORIDA, permanenNy.
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pvame) John G. Johnstone
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~ V~ddress)
~,:~ti~~i:~;;sf: -
.~.~~'.;;-~'y~,a~~.~~ ~ ~ 14th ~ ~ Ootober ~q 68
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- ~ N~ary Pubik
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br ~ ~ J~. D.C. My ~,O~nntissiw~ ~xpin~
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