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HomeMy WebLinkAbout0962 UbCUAKA'1'lON ,OF DUMTCII,B " ; ~ V.V ~ ' . . , . . . _ . . . • , ~ ~ ~~:~~~~'.~~f~ ~ . . . &~r ~~o~ Fi~~iA , r~ : ~ '~~~ll~"~'' ST-: ~C~E , - , . _ : , . ' - - • 9~~~ m X Dec~ucati~on c~ ~^Dorit3,c3.1a 3iz ~ie~ Stebe Y~ ' 1 _ ~~~,s~. Y ~ _ . . Flor3da "~hat` I am th~s' dby~.~n` avoon+d~inoe' atid ' 3ti oatfarinity ~i SBCTId~I 222.~~~1 ` ~r3da' Statufies. , ~ : , . . . . ~ ~ . ~ . - . . . - ~ I, Wej,~"'~ ~ ~ =a' ~ ~ * - ~~-7~% ~ll~' ~ 1-Z G . : , . . , ~t pl ase ~irint~ °~u`r ~~ne`*cle i'1 ) . F~- . ~ . ~f , ~ : , - ~ _ . . ~ . became a: `bana ~ fiae :~resident 5 a~ the - state` ~ o~ Fl~oriaa" o~,. ~ ~a r= ~~ae ~ ~ ~ ~,Y ~ E . ; ~~~ie.. ~r ~ ~ ~ ~ i.~..~t.%~Yc-~ y . - ..3n ~ the Ci ~ af • - , , ~ ~R ~ ~ Z a~ ~ . . ~ , . ~ , ~ _ . . _ ~ ' . < °M~ ""ma~i'g ac~~ress""~3s;. ~l ~~'1 C' - - - , ..a _ : :.j (~;'~`a~nt~~}soom ~ st~et ~ aaar~ss ~ . ~ ~ , . . ~ ~ .My`'former'°legas "~+esideria'e''was~~in`'the'~ City~af ~-jf..,.~'/~`~C~ ` . . ~ s~t~ r- ~ ;~G~ ~ ~ _ . - : . . . . . ~ . . r.~... ~i.. ' ' . . . . ' . ' ~ , - ~ , Y h ~ y~.,, ~ - : . No °fLUCther stat,ement` is re ~ ~ However, ~"Zf you wis n .n . ..e . . . , • ~ _ _ . "'insert' an t facts~ such as sale '~f. ~ us~ss , .....~u 's"P~~ , . . . p y d... ~P~P~tl~ b . . . . . . zir' .r~lin hment: a~ em in~~ ment~~ at- foriner~'" domicile, °~remb'val~~ a~ - =~f~mily~'to "new domtcil~, . pui~chase home, e~c: ) ' ' ° ; ~ . . . . ~ _ . , , . , , . .a ! , . , ~ ` . - I'~ . . . . . . ~ . . . ~ _ a , . . . . _ . , . . a , _ . _ ~ ~I FIJR~`~iER CE1tTYFY ~`I w~1 ocSt~1` 1" : y' ~ qu~.nemer~ts ~ y , ~a ~ ~ae~t~a ~ ~ • . ' : ~°f . . _ ~ ~ , li ~ a- ~ ~ a ~l~gal ~resLdent ~~this °-~State. ' is 'uriis tile ~cara ~ ~ 'f~ ~P~rY t P~rY '~~.s • a Felaiy: and - p ' ha by ~ ` ~ f~nn ` ' "'fn_~he ~ St~t~e~ ~De ...paYtment~ o~~' Co~rectians. ~ _ ' ' : ~ ' . . , . ~ ~ , ~ . - ` , . ' •%t-~ i~f ~ i7-~ .c~~ /:t1 r' 'L . t_tL t'~'I ~C1 G~ ^ ~ °~~NT ~JA~E . "SIGNATf~ItE - ~ ~ , . ~ ` . , _ . _ ~ ~ . ~~II•~H A ~ ~~MRfN~ ~ F: "'PRI~T~,~1ANj~ - . ~'=3I(~N1~TU~tE ~ . . , . , , ~ . ~ $wt~~'~ta°~°~rt`a ~ ~bs~~i~`b~rn~e m~' tl~i~ :>d~y ~r~ .t - ,a~fr t,~ - „ . • . ^ < _ . .ft S ' t , ~ c.-R~ s~ .~s l r:, .jth ; • - . ~ A . ~ . . . _ ~ . . , . . ~ y . . • ~ w, ~ . . . . . _ . . . . . : . ~VVV~~hY. '~~,R . . ' `L~~RK ~ CI~G~ " ~ . ~ ~ ~ ~ • ~ : ' , • _v ~ ~ : ~ ~ ~ ' Y w • ~~Y . . 3~ ~ . ~ ~ . ~ . , ~ ~ , s . ; . . , , ~ . ~ , . h 1't~ y - . ~s~V~~ ~ . . - L~ , . ~ , . . . . . ~ , . . . . . " - ' ' • . . ' ' . . - ° ~ ~~lerk • . ~ - • . ~ - . ~ 'y - . . . . . . - . . . ~ . _ • . . . , . ~ ~ ~ . . . ~ , . ~ . ~ . i , . . ~ . . . , , . . I _ . ~ - ``86 MAY`~~1 ~~`~`:49 ~ ~ - ~ ' :N 1kR: ~-pU~L2C~,- S~AME . . i ~ D !!!`h ~MY ~~~~~1~SS~~N",t~~~~ _ t`~ ~A~~`L~ft JN~ G~~ ~ _ ~ ~ ~.~~K _ S L-Ui~IE C4'~}~t r'~!. r L. ~ , . i . ~ - ~ . , ~ . ; ~80~ ~86 ~P~~E - ' . , - - . ~ . - , . A..';4~ .r,..., .~..t~i..--.~.yx~'n:... . . ...e,, , . . rs_ • . • r,. , • -.<:i~-:•~a~...'~~ .~'v" ~ . i- -i - . . . , . . . - . - - . . R. . ,R:' •'r Sa~ . 4. . . . , , . . . . ~ . . . ~ 'Y _ ~ < . ~ ~ . C ~ . . " : _ . _ . . _ .