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Home My WebLink About2964 • a. _ - - Iii E CLERK OF THE CIRCUIT COURT, '~~~~WVs _ Si'. Lt.1C 1 E ______coUl~~, FLORIDA:. . ' ihis is my declaration of Da~ic~7e and Citizenship in the State of Florida that I am fling this day in aocordanoe. and is ' co^formity ~a~t6 Section 222.17, Florida Statutes I w u lormerly a legal resident of ~-''y~© una I IGlty) IS'-~sa rt~sidrd at C lrLli!/T/ ~ ~~7' Hosoever, I have ebangrd my domiu'Ie to ? ISerre: aaa N~?terl nd Ern znd have been a boas Sde resident of the State of Florida since -day od _ _~s~,L _ -1921_. and 1 reside at /1l ~-.~i=~-'r'i' `~iC'~ (gtreel and Numl+esl to-~-i- ST, lUG 1 E . County, Florida, CtJI . ~n~ t}:'S St3tEC1Cn: is to be tt=ken is my declaration of otizeasi~ip, actual legal residence and domia'le iD the State of Florida. IF FOR THE PURPOSE O~ ENROLLING IF t'OR HOMESTEAD PURPOSES, CNILOREN IN SCHOOL, PLEASE STATE PLEASE .CHECK2 THEIR NAMES: f..~~, _ ~ i _ ~ 4~583s 1919 AUG 2I PN ~ I 1 - F~~EO A pRE pRp~ ST.Iz11C COiAI ~Y~tA. R PQIT~RAS I ~ L~itTli'r.R C~T:TL'Y thst I ~:;ll z::bster at ny 1o-=s1 ::ddr~ss ~:•hcn th~~ radon ..~1~pea, snd comply it!~ Ell o a le al resident of this State. ~~~~~~RIFtEQ ' re~uirec,ents f g Ir`URTHER Cb'RT'iFY thzt I ha no intention to return to my former domic~7e. and I intend to remain in T. U C I E County, - ICZy) ~ bcou~~r~, ~ - . ~ ~ a ~ - ~ ~ N s ,~~t~°~9 ~ ~l ~ Ih:.me) _ g / 1 i ~i (Address) .~:r.Jrt~...:~_dbeior~r.-.:this_~~'~-_dsyof /67~ ~"e! v- .3yys~ 9 - " S_71_ ~„S,__r._t,~_n~< _o~ __C t_i?cull'- CoC~T _ . , ; . t_ UC 1 t COU; lTY, t 1_(.>:~ 1 DA - .