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HomeMy WebLinkAbout1238 Ik-<:.luratioH of D0l11i('ile I!nd Citizenahip gO~1 "0 11U: ~T"n: M'W COUl'<'1'V T,\)( ,"'S-SJ-;'~'iOR. 3H i!Cc537 'iT LUCIE ('(iUNT\', i1 nnlDA q. l t If fe' I;/,n r. fI A , "1111 ~, my decl..,fl\!)n l11 tl1.)l111(H~ ..lId C\!uenJhip In the Salt' ot F1(!tHa tInt I 11m filtu<< lhb d,av tu .,,<-ur\l:i1~ anl,l in ('<}ll!orOllly wilh Ch.pl~r W. s.;,Uon 1'/211. nOt~. St!ltdes, 1 wu fonniHly a It'~.1 lu"i~n' of_.__.__!'l(g;q" 1)Qrt.._____.,' . (City] /HI ,I I ruj,j~d al ____-J_fre~!,m,1uS.ltoad--,:. I Stre-f't &.11(1 N '1m Lr.) l.O wd ..m And h.'t! ~!'l . bona fido h'~,Jtn' or thO! Sllte of FloridA .m,.... ,-... .,__,__._ CQllm~ct.i!;'.U.t Sla Ie H :J\\ t', t'T 1 h&\. (h!!n;,:(d Ill) dOln\~U., 15.__.__________..__..____~ day uf .'_ ,!i~ }.,__,.,._.__,_._____.. ,.---.-, .,_..,-- ' 1 '1_ ~3 ,,1\1j 1 1...1 hit' Al _~~ !_~~_~~_~___~~~_I.:..~f~~____ (Str~1 IUl<j Num\.)c!rJ Fort l';tr,~, SZHfll Lue;..' CQl.Iniy, F1)tllll, Q!',d th:s 5t..l!l':11ff1t IS t,.) t", t"k'cn u my d ~dflTllt,On of Cltl;(t"\l.~ ~p, e.ctul!l It'glll re~jderl{''I! !in l d'.imiclle in th~ St3t.. of Fludda l!l'3nt 1,l'1t, 1\'W pc;\ln~~:\ !~ l'\ IU h nl p!- o! ptcpcHty or bUlint'I-', or telm'i;l1Jhmer,t 01 ("m~I(J)-'tnffit llt !or'f'/'r dtl:1l1l'lk, r('1"1o-.ul 01 Lrn\l)' t,) rH~''''' .j,xnlnlr p:;rd',Hl' 0r homi', ("te J Eut.:1hli3hior- residency ". .;.,~..' l O(;~B~~ IN ~\~-~lJI( \q&l JlJN ''3 ~ 9: \ 8 ROGER POITRAS, CttAA ~l. LUCIE CCUun. FLORIOA r) ^f Q t (}()},(-~, - (: .... . . .', .;. .J .. ... ",' .. r. C' . ? I Fl'HTllf:r. (.l-JtTlJ-.'.. !!',a: I Will re;;.!tu fl' PI)' lea::ll ;}':c1r('H wl;('n HI' ir;,:,.!!!:," n b:o\q I '-Nif-'1!", It'd Ct,:;,pl) ",ttl a.1I 0tti-{', l~>i:":lr~'f~ent' '.1; a l~~Ql tt: lldfiit (J! till% Stij,~e. 1 FL'I:Tlll.!', CLItTiFY tro:n I r.~.. n" 1 ;t:nL(,r. I,) r':t',.!fn 10 my ir,\nr..r <!l,>",j,,:p}Jd I il".!!'lll :0 r,',';', It. h,n ~"I'H(' :-'nJr.t I u, it' Cn ;:;1:, fi:rda ~"","~!""..nt;" , I () / -'--' / / _.~; ,j/ ;jls ~?, ~tY5.. . i/-' {..d;'fl'f"l J Q.hn ~, HliUliuok {A(~drti' j t:.;.UfTJ tc utal ~'uL;.,. nti't'"'J t.ef")Ie- rue ti:i~ 13 J '.ill e ; ') ,), ,_. j;;,.. '.>f F' i~ ':t .~.;! 'p Pr)!~rJL\S ',! 1,,1; !).J: "If ; ,",'1 al{ ~~ I~(.~~ll , \1".' {Grrrnl~1~{.I!1 ('-,pHrJ :-.:otar> PdblI<' 1" (: ITo: " H('o<"\ltflt tD 4QpU....sl~ JSId 6ththnl t\J..., 'iO"ith f'lo:",- UUlli1 n~~lIt, "Ml d,.pli.-d~ wIth T'.. J\I~>f1