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HomeMy WebLinkAbout1939 ~ ~ _f ~ . ~ r:~~:~~~~~~~i~c~ ~>f ~1~rn~~~~~ ~.~~d ~i~i~~~~~~«:a ~,~y. t 2~sss ~ . ~ s!~q~ ~ 4 i c~ -t~i ii~ s~rn~i~i: n;~u c•c~ti~~~ ti~ ~r,~~. ns~i.>>c~ii. 2994'76 ~ s r. ~.uclr. c•c~un~rY, r~~~tinn: ` _ _ - - ? Ti~is is m~~ ~Ir~•I;~ration c~t' l)~micil~ an~l ('+tii.~n~hip in th~~ St:~l~ ~?f I~lorida that 1 am filiiig thi; day in ~ i 1 .~~cor~la~~cr, .:nti in rc~nfonnity with arrticm 2".17, I~I ~da St:titrtrs. i - , . ~ 1 ~~~as foni~crly a Ir~~.:+1 rctii~lcnt c~f . ,~~~-t ~G--- , and l f (c~rt) ) (s~a~r) # ~ rc,i~i~d :~t - _ _ . - - . lio~vcvrr. 1 h:~vc chan~cd my domicilc tu . ~ [Succt a~~d Numbrr) ' ~ .~»d :in~ :uul h.iv~ hcrn a buna ~i~lr rrsidrnl c~f thc Ctatc ~~t~ i~lurida sincc S`~ ~~n~ clay oi ~ ? ---(P- - a,vs" ~Rrden fl~E ~ s't' , an~i 1 resi~~c at - - - (Strcrt anJ N~~mber) ~ ~p f_} r~~R.~- - ~ - _ _ _Si_. 1.1tCie- C~unty, l~ic~rida, cai. ) :.n.! thi~ .latrmcni is to l~c t.~ken a. i~~y d~:claratiun of ~:iti-rcnslzi~~, aclual Ic~~ai rrsidc:nrc and domicilr in thc Statc l~ Ic:ric~ (losi•r. hr+a ar.>• ~~r~tinrn~ facts. ~urh :u uf ~~~upcrty or i~~r.incsl. ~rr nliayui~Lu~cnt crf rm~~!uymrnt at furmrr dumieil~, ecmu~al uf f~mily b; ui•~c dumiril.. purcliaer of Lutnr. rlc.l r..•rL:ti~, ~TC CNTI.~R~.~; 1~~ sct;oc~:.: H~~~~:sr~~~ r~r-rn~rTO~:: lf ei:t-erir:~; cl:ildr.en in school, ~ p1e~ se l ist t?~eir nar~es : ' _ ~ . ~ 5~.,~. ~ ~ i . - l f1 LED ANO AECORp~o IUCtE COUMTy flA, ~ CLERKCCiR UI~ COURT ~ C , RECORd VERrF1E0,.~~~\ ~~.`EUOiE couK~ ~i~?. •~iN I l 10 40 AM ' ~v ; 75 = ~iocEA Po~ia~s ~ aECOao vE Rc E~ coua ~ ~ - ; tp 21v PM ~5 2994'76 ' ~~~65 ~ s ~ ~ ~ap + 1~ ~ S ~ 1 FUR7'f14:R CI:RTII=Y th.rt I~~~ill rc~~istrr at my loral addr~•s~ ~vltri~ ti~c rcgistration books reopcn, and ~ ~ rum{il~~ ~~~ith .~ll othrr rcq!~;r~m:r.t: c~C.i )r;~a1 rr~icfent of this 5tatr. ~ 1 t~UR"ftf1:R (7~.IZ1~l1=Y th.~t 1~i:?~e i~n i~ilrnticm to rrturn to n,y- former domicile, ancl I intend to rrmain in ~ . - ~ y'or-~- P~~rtLe 51---- t'r7 , c'o~,nt~~, - - - - - - - - - - - _ _ ~ , ~ ~'~!)1"f4i.1, ~)Ci1i1311C11t~)'. (('ity) ~ ~ .,,....,....r'~ . „ ~ . ' ; C v f ti~i-;:. - -~7'~-f' _ ~ , - - - ~ . , C0 ~ ~ . - G?`~ATIT~L - 4 'yV;' ~ ; : ~ . f ~ ~ + . ;~,F~ r,. - - - ~ - STG:v~~"I'UR~ ~ t - c : 4 s _g - ~ . r~i r•- ~ lilt`(~ ~C~aI'l' I:1: tlli~ l~•'). ~ ~$yrLif a~i;. . ~ ~.T,, ~ . v~:::.F - aos ~d~~G.~~~ ~ '"'r_ I~ ~~''i - - _ _ . !1.1~. 19 ~-^.~~~~1~i:g ~u ar~ss ' j /l:l,j: I~r~: ~t 1.1.1'',I~i~ .Tf:~..iTl,i~ ~,n~' ~ ~ . - . _ : ].or_ id~. ~ i3 \ Pc~~~r.y CIe• . ; ~ ~ f ~ CLER S - 0 TO CORRECT DATE OF '•"In be :rutrd in ilu~r!ical~ .~+d ~•ri~v~~.~l fd~••' ~Ih ( 1.•r{ ('tt~ nii l'uurl.:~nd Ju~~hr:~h• ~cilh "I:~a Asuscur) S IG ATURE AND CKNOWLEDGMENT . ~ gaOK 23~ p~Gf 1 ~ , OR ~ sewc PACE~'7~ R e ~ , - _ _ - . _ . _