HomeMy WebLinkAbout0181
181
ST. lOCIf. ~..JN:n, fi.Aj
Dec~crQticn of Domicikt and \)...itizeMhip
TO 'l1lE STATE AND COUNTY TAA AS$'l'.AAnn.
ST.' LUCI~ _COUNTY, FLORIDA:
'l'bia 11 m1' declaration of Domicil-a and Ci~P in the State of !i'lorida that 1 anl tilinl! this ~y in
acc.ordanee. and in cord:mnitr with Chapter 222, S4etion 222,17, Florida Statutee.
1 wu f{)1"IDerly a lep1 re.sident of.__.BEliTOlL.HA.HROR----:.-----.--. - ].IT ClUG.!lL.------
. (Clb>) (&tau)
and I reaided ~t..__, J~~1.P.1p.~.t.ont------------.----------..--....-..-----' However, I ba~. th&nIed my domicile
(8tr'M\ ud N1PIIlbu) ,
to and am and have been A bona Me reaident of the State of Flori~ W1oo...___..~.$_th.___.______..______Oay of
_________F.e.bmar~---.....-------, 19____6.3, and I reside a L_!O.6--G,Qorgia-J.Y-enue--------------, ---..------..
_ (13L.~t and N\lDIW)
!.'_~~t__.f?: e~_<;,~__.._.________ __________, S ~!_~_ci ~--------_----_--__- ____COW1ty, F\orida,
(CitJ)
and thia statement ia to be taken as my declarstion of citizonahip, aciual lepl residence and domieil. in
the State of Florida.
(InMn .. &n7 perliMnt facta. 'UtA U sale o1proPCrtl or bnal-.. or ra11Dqui.lhment 01 emllloJ-t at
fonMl' ~. reI{lonl of !amDr to new dO!'lldl.. purehaM of hcmM. ..) .
.--
,'.
","i
Entering on6 child, Barbara Lee Patterson, in public school.
. . ':'/~.
,. .r -\_., _'J~ 'II'
,,' C.y,I' .,,:Fxi'-,""i>:
..~<,~-':), .~'.~~:~,~~~~~,_C' .',~'t>_
.... ..,.(-..tt"-'.~ .'.'
~... ~') !.:....~ ~.,T,.;.I'. :'i..~~ ......J .....:.. .
:,..;::,,,,.,',. I ...,0 -:.'
: = :,j- T' . .. -;: ~ -:
:.~.t1:,_" .... AI: p.f ~
. ~,f.' ~ ,,:...-
. .~' ;,;t.~.., ~~.:' '. ;:~.... .-;. ~
~. <";..'...';-' ,/ l),~ .
-. . ~r..." ,... 0..,'
. ,,;-11- ....", ~ ,.
'. .:~:".1..'. ,<v. '.'
"I.--:U!/ ...,. _.f.. ~_ :.,'
JJ' ~....""~~ - \1' ~
'!"!II1I~W'~~'
'.. ~.....- '.'-'
Q2810
, ., n=>ocO
fILEt'. M~D RECu:\ L.
\~~~,OJK ~.
I '9~' MR -3 PM r \ 1 U '
RO"'~R PO\TRAS, Cl(,RY.
('_ \~'~Ir r;"\:-i;'~', H~I\<.,\\A
~ \. ,I.; ."-
'--.
l
~ FURTHER CERTIFY that I will rerister at my local addre8a when the reaiatration book! reopen,
and comply with all other requirements of a legal resident of thia State.
I FURTHER CERTIFY that I have no intention to return to my fOi1Dfsr domicile, and I intend to remain
irL_____________.!.<?.!~__Xt~_!'~_~.__________________f St. _Luci e ________----County, Florida,
permanently, (Cln-) ~A/A_'~ '_. _.&~;J--------_-
. ~ ,(N~~
John . Pattereon
-----------.---.-------
(Addre.. )