HomeMy WebLinkAbout0440 .
- Q~'~~1011 O'~ D01YINt11~ a~ld Ci~iMihlp -1"~~~'~
TO THE STATE ANO COUNTY ~AX ~1~SSf~SOR,
ST. U~CIE GOUNTY. FtOR10A:
Thi~ is my cMdaratio~ of Oomkil~ and Citiunship in th. Saa of Fbrida that I am Hlinp thls day in aooord~na ~nd
in oonformity with Ch~pl~t ZZ2, S~ction ~2Z.17, Florida Stafut~.
i w~ ~~r ~ ~t ~ Charleston Weat Virgiaia
K~y) ~a++)
and 1..~id.d at 812 Georgia Stseat ~~y~ ~„y
(Strwt and Numbw)
nec, a8
~o ud am and haw bun • bona fid~ ~id~nt of th~ Stat~ of Horida sino~ d~y af
~q68 a oute 3} Bo~c 438 ~ ,
~ (SfnM u~d Nunnbw)
lOR~ ~Cf. S~AW? WCIE G0IMITY, /t~OR~A ~
and th~ shtMr~s~t is to b~ taken as my deda~ation of dtin~nship, ~ctual iepal resids~oe and domidl~ in 1h~ Stat~ of Horidi.
praert hKS amr p~rtir~sM facts, wd~ ss sale af propsrty or businsss, or rolinquishm~nt of ~mploym~t
d formK domidl~, romoval of family to new domkile, purd~ss~ of har~t. ~c.)
Pla~iag children in school - Robert Jackaon, Clint Allen
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lffif ~ W~~~ GOfTI~ WN+! i~~ Off1K f~t~tll~ftfs O~ fN~f1f Of 1~ SfaN.
- 1 FURTHER CERTIFY that 1 have no in»ntbn to retum to my former cbmkile, and I int~nd to romsin In FORT
WERCE, SAINT LUCIE COUWTY, FLORIDA, perrnanently. -
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- -.Y. tNanne) Lois Barker
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f~. ~~.,~a-~!d'~ #~d befon ms this 3 da~, of Janu arp , 19~.
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tO~ilR~'1~1'f'RAS
CRCWt ~OtIRT Notuy PuWk
~.C. My Commissbn ucpi~
" i~ ~eali ~ei~iw~l f01M wNl~ CiMlc Ciraiit Gw~, and drp~al~ wNl~ T~oc AM~~
» ~115 ~ 439
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