HomeMy WebLinkAbout1991 l~L~.c..i a:.l`:.iii O~ :iv~:'~ir:'t~: ~..J v:..~.....~....
;J ~i,E ~;A:c Cv~~.~Y T:.X A~:;~a~v~. .
. .UC;E COiiN?Y, "rtvn~DA
ill,S .i ~liy i]t'~~dfa':J:l JT J:~:t~~iGi~d .ltl:l 1..~~C~::Si~.,~ ~:1 1~1t. .T3:C Ot r.J;~~:a 17'~d: i a^"~ ...~11~~ :C1:5 C:a~/ ifl uC:GldafiCC alld
conform~ty vv~tn C:;~prer 2?2, Secr,on 222.17, ~lorida Stat~tzs
, ; was former;y a ~eyy, res~dent of _ _~~5~~'II - - _ _~i@4l$18----_ -
~City; (State)
:
203 Pine Street
,r,d 1 res:ded at . _ _ _ _ _ _ _ ~cv~e~er i nave cnanred my ~om;c,iie
{Street ano Nurt,~er)
' ~o and am and have oeen a oona '~de residant of tne 5'ate of Fiorida s+nce ~ 25t~ day of
; _ October , 19_ 7~,~a i«S;d~: oT _ 90o Sunrise Blvd~__
~ (St:cas ar.d t`.;mber)
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- FORT PIERCE, SAINT WCIE COUNTY, FLORIDA
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; ~nd th~s statemenr is to be :aken as my dec~arat~on of citizensnip, actuai lee,o, r~s;Cence and cio~r::c:le in ih@ Jtaie of Fior,da.
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; ~tnsert here any pert:nent facts, such as saie of proper.y or bus;n~ss, or re~~r.q.,ishmen; of empIoymenr
{
# at former domic;ie, removat of fami~y to new dom;c~le, purchase of h~me, efc.)
~
s, .
Entering ~wo children in schocl -
f.11.f,0 ANO pf
Kristie in :!:e 6th ~;rade st•~uotE COu
_ RoccR ro,ra~
C~EItK CIRC{~Y ad~t 1~
~ AfCORO VERIflED.,"„~,~ ~
a:elonie in ~he 9th ~r~~e
Qct Zl 1 ~6 PM ~ ~
~
= 22 ~?8~~~
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~ I rURiHER C~2TI"rY that I wilf comply wi;n o;l other req~ireme:.ts of a~e~~i resider.i of tn~s Siare.
_ 1 rvR7ric2 Ccr~;~"rY that I have no ;n:er,t:or~ to return tc'my ;ormer com~ci;e, ard 1 intend to remair~ ~n ~v2~
~'~cKCE, SAiNT IUCIE CO:JNTY, FIO~~DA, permanenti J_
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' ~ t~~ < L C1.t~
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_ (tiama)
Harold ~7aitt
- ;:,dd: es~;
Sworn to ar,:; SJCJiC(~iiCC~ c~fore me th:s ! th__ ;,~y o; _~C.tOb2T_ ;y_3_Z
ROvcR ?OIT;2A5
Ct~RK Ct~CUiT tOt1RT ~:o'~ry r'~~..c
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: 1. '.~r
;.y . ~ /t C c . < _ _ ~.C. f1r,y ..o , , -
. ~ ~ ~;m,ss,on ex ;.res
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. ,
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17o be exacuied in duplicate ~nd or~g~na! filed wit}~ UQrk Ci~cuit Court, an:i uvF~icatu w~:i T;.x _,.or.j
_ eoQ~ 196 1~~8
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