HomeMy WebLinkAbout2022 o~a~a~aao~ o~ oo~nlaa~ a~d Ck1s«~sb~p i9`?'~'84
TO THE STATE ANO COUN?Y T/Vt ASSESSOR. ~
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s~. waE cowvnr, aauo~: : .
This Is my daduation of Oomicil~ a~d pti~mhip in th~ Staa of Hortda ~ 1~n+ fllieq this d~y M aooord~~ot and ~
in ooniomnity with Chaptar 222, Srction 2Z2.17, Norida Sf~tu1~. ~
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1 was formKly a Ip~i ~id~nt of ~ Yern Beach Florida
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,nd ~ ns;d.d .t 19~6 ~ilbur Avenu~ ~ R,~,
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ro and am a~d haw bs~n a bona Hdo ~id~nt of th~ Stst~ of florida sina 15 th _~y ~
Z~u~r~_, ~9~Q, ,~d ~.r.:tc~ a~ 601 S Ocean Drive _
~ . ~tn~t u+d NumbK) .
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and this :tataner~t is ro be taken as my dedaation of dtize~~ip, actwl Ipal r~sid~noe and domidl~ in th~ Stat~ of Horida.
pnsert hsre an~r p~rtineM facts, wch a: sals of propwty or bu:in~ss, or nlinquishm~nt of ~nnploym~m "
at formsr domkiis, rwrwvat of family to n~w domkile, purdus~ of hane, s~Ic.)
- . j I~~~iro aNO RE~
~ . ST. ~UCIE COUNTYt~~t.~A;'
to enter children in school RECORD1VERIFtEO ~
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I~oulse snn 8ogere -8 _ 'lO AU6 28 PI~ 3j
I~arry 'iray Rogera 6
. Roc~R aorT~as
- CLERK ~IRCUIT COURT3 _
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1 FURTHER CERTIFY that 1 wiil compiy with all od~ roquin~r~enb o~ a Ipai ~id~nt of this Sht~.
I RJRTHER CERTIFY that i have no intentior? to retum to my former domic3l~, and 1 irtt~nd to remai~ in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, p~rmanenfly. .
- (Name) .
~ ' ~ fi~l Q. Mean ~rive ~
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`~,ti~~ul~; r~ rf~ ' . -
.~;a.iid~~i~,~.for. m. this 28th d,y ~ ~u.gust , 19 ?0 .
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e~r . ~ D.C. My canmistlon .xpin~
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R~ M~aaih~ M d~Nal~ a~i «yM~l IN~ wMw CM~k CMwM Cw~~, a~i ~1e~N ~ Tre ~~~rJ
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