HomeMy WebLinkAbout13333 52
ion o ~Doi~~c~e'on~ Citizenship
Declorot
z~o T~ sreTr wrlA oovriT~t TA7[ ~BSOi;,
n w
Ss at LYnie (~OZJNI'Y. IDt: - .
This is my deelaratia!a of Domidle and (gyp ~ the State of Florida that I am !!line this day in
aocordaace. and in conformity with Chapter 228, Section 222.17, Florida $tatntes. -
I was formerly a legal resident of Bid--~Qra ___ _ _ ----• ~i ~~~----------
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:;. I r:~;de3 :w----- - ~- ~ -----s~~~~~~--------- - - ---- _.--_. However. I ova a`~zu my dorm
(8tewt sad N®b+r)
to and am and nape been a bc+*_~ tid~- ~~ent of the State of Florida since---------8?th---------- -----------d`ay of
.7.an1~8~------__~________, 19~L, and I reside at______~4~4 ~.JIg1~9.~_-~------------------------
EStrMt and Number)
-- Eor t Pier o e - -, _ _ Bt . Lno i e ____~ `_Couaty. Florida.
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and this statement is to be taken as my declaration of citis~ahip, actual legal residence and domidle in
the State of P7orldA. a~ yropsrt~
! r~s~e ~ ~ =amlb~to ~ domieW. parehaM o. ~e~nLLma~t aS ~~loym~nL at
Entering tSoadra Qele l~enoh entering in the 4th grads
Jemea Edward l~renoh in the 5th grade
Janine Inez 17enoh in the 9th grade
=~ ~ Oharlotte haith ~renah is the iGyn ~a~ii
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"""' -~~".,;~~ ~~~~' QED p,NO RECOROEO
fl ~804K
IN Pty 1:51
196- Jp0 30
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~ I FUATH.AB CERTIFY that I wi11 register at ~ Loca1 address when the registration books reopen,
~.~.~ ~~ with all other re4nirements of a Ieaa1 resident of this State.
I FU&T i~ st"ii i' 'ws% i `aiai~ air a''+gi+~mc"aea i+v w`sura i~v siV i~a~~6c ~'aw..+w~'+o.:~+ :::•`w:••a• ar^• • ~';:
is ~ r Pi e~ef !or st.Litaie County, Pleorida.
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