HomeMy WebLinkAbout1855 D~Cta; :::::~n oY i~o:ri~il~ ~:::_~r.~:::;~
~O TriE STATE A\D CvJNiY iAX A~cS,~OR. 21~~0'7
~i. lUC?E COUNTY, FLORiDA.
Tnis ~s my ~e„arat.on of Dom:c~ie ond C~hzcnsh~p ~n the State of Fior~da that ! am t,i,ng th~s day in accordance and
n conformity w~th Chapter 222, Section 222.17, Fiorida Stat~tes.
1 was formerly a 1ega1 res~dent or ___.jl2lde.Z'~t~p~_. Ir~d13T18
(City) {S!ate)
.
Rt ~ 1 ~
aad I resided at - _ - - _ - - _ - - - _ - - _ - - - _ _ . Howaver I have changeci my domiCiie ~
(St~eet and Number}
, ~o and am and have been a bona fide resicient of the State of Flor;da since _ 16th _ _ day of ?
; ____September 19__ _?1'and 1 reside dr _ ABC Mobile Apt 929 Bluefiah Crt :
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(Street and Numoer) y
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FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA_
r and this statement is to be taken as my cieclaration of citizenship, acsuaf legal residence and domiciie in the State of Florida.
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; (Insert here any pertinent facts, such as sale of property or bus~ness, or reiinqu~shment oi empfoyment
at former domiule, removal of family to new ciomicile, purchase of home, etc.) i
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Entering children in ~chool-
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~ FILEO ~?wD AEC ROE
l~ichael K. in the 5th grade st.~uc~~ CouM~i? f~
aacEa ~oiT~u?a
Shelly in the 4th grade RECORD YERI~
IEO CO..~.~.•~--` }
F~ David in the 2nd grade
Oct 26 12 2~ rM'T!
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21'7'70'7
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I FURTFiER CER7IFY that 1 will comply with ai1 oiher requirements of a Iegai resideni of this State.
I FURTriEe2 CERTIFY that I have no in:ent~on to return to 'my former dom;~iie, and t insend to remain in FORT
r~rRCE, SA1~VT LUCIE COIiNTY, rLORIDA, permanently.
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~ • • - . _~kQ~'t~t'~%
- ' ` ~ " (Name)
_ Linda Sue %~1~~ Kinney ( b~ra ~ennia
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- ~ ` - . _ - - i
, - (A~~ress; ~
2~th October ?1
Sworn to and subscnoed before me th~s csay of i9
~2vG'cR POITRAS
s;:; C'.c~2K C~RCUt7 COURT - ti~tary Pub;ic----- - ~
; = ; - -
~;t_• ~ < j~ L ~C~-L ~~f'~~~
` 3y - ~ G.C. h1y Com^;~ssion ex~;:es -
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(7o be axecuted in duplitite and original filed with Uork Circuit Court, and du?li:afa with T~x Assu~wr.)~ ~ {
~~R~i~6 ~~~E1854
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