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HomeMy WebLinkAbout2696 i ' ! ' ~fi~~'C~-r'._ ~~j ~.1C ~ Cti'i i i 4-.l' 9~ ~'s~f~.~.`.iC~i~~~k~ Ill 1lII'ti1-\11'.:\\!)lOl`\Il (.1.~ 'l',`;1 ~L .1.~~:: ~ ~ 2621'~6 c•c~t,~~>>'. t ~.c:i~i~~~1: 1~hi. i. ~ny i,~•,I,u.~l~t,~i ul Uc~~ui~~il~• :n~cl ('~~;i; s?.lu~~ i:~ tl~: tit:stc c~l l~ic~ricl;i ih,~t I:~in filit~~ this ~ia~~ i~t acr~srcl:in.:.•, aii~l in .:~~nl~?rtnit~ ~~~iih ti~cti~~n ~,,.I "l, 1~loriita Slatutrs. I wa, I~c~nnt rl~~ ir;~:il rr,i~ii i~t ~~1' ~1-~'.E~ : _ . . - , - L~1e~4~'.~~.. and f - ~ tCu?) (Statr) rc:i~tr~i at ~ f.~,_.:- `1i1. . HoK•t~~~cr, ! It:~ve chan~;c~l ~2~y donticilr lo (Si~a•a•( :uitl i:u~nbcr) ,~nc! ain :~ncl h;?~~~ bc~cr~ bona liifr rcti~.lrnt o1~ tii. Statc c~f I~lurida sincc ---s~=----- day of now .~1~ - , r~. , /~~~:~;s~ :,c a ~ q . ~ ~ (Stre nd Numbe~) L7' --~--c~h-~P~i ~ _ S t . Luc ie - C'ounty, rlorida, . (ci~ y ) :~nd this st.~tcnicnt i: ?a i,r t:lkcn ati n~y ii~clcu-atiUn of citizrn,hip. ~ciual trgat msidcncc and dornicilc: in thc State of rlorida. (los~ri hrrt any ~+rrtii~rnt fzct<, suct~ :i~ ~de nt pr.~perly ot heici~tctt, ul r~•liu~+uishment oI employntent al furme( domiciM, remnvs! uf femily tu n.~~• dun:tir~tr. purch~~r of hot:~c, rlc.) Entering chiZdreti in school: J~~eo.~i~-u~ ~~..~.~~L~~-~~., - a2-f~ ~_.e~Y~C~i~c~ ir~~ C~~ 'f l,EO ~lrp REC S~. LUClf C01)M~r~, R06ER ?p~ RAS ~ CtERK CIRCUIt CQ~T RECORD VERI=tED . ~ ~ ~.1 ~a5 Jl~'x3 _ - 2621~'s i t I~Utl'i'HER CI:RTf~=Y that [ i:~il} rc~~is+er .~t ~t~y local address ~~•hen tlie registration books reoprn, and ; compl~' ~vith ~11 Otll~r rCCit~i~i~t!e~1tS ol~ a 1<~~al rc~iil~nt c~1 this Statc_ . ~ ~ ; 1 FURTIiF.R ('I:RTIl=Y th:~t I h,~~•.• ~~c~ i~;tc~i;i~~n tc~ r.tur:~ to niy fonncr domicilc, ~ind 1 intcnd to rcmain in ~ St. Lucie - - - _ - co~n,tv, I=lorida, ~irrnt.»lcntl~~. cr~c.~ - . ~ - - 5~-~ - - ~ (Namej ~D~ - - - ~ ~ (n~t,i«tt> S~vr~rn tc~ :ind .uhscrihc~l hei~ur; ttiL• thi~ c;:~~~ c~i ~ ~ -~c- - _ _ _ _ , t1.t}. i~, 73 . It~C:;~t..la'C)I'1'2~:5, CLt:~:K C] ~:CUIT COU:ZT . , '_'i._r~?~.h~~--------- i j ~ , ;~v ...~.•h~ V,~~/.' . . ' J~`.~~r f ~ ~ ~ ~ eoox ~ ~ ' c~-~~~ ~ : ~,.`~m~ ~ ° ~ 217 ~~~2687 A r• yt 1 ~ _ Y ~~.5.~`t ;i-.~i ~ G~~~ _ _ . ~ , ~ C ;'t:. _ ~ .:v~~~^;~-n~: . ~T•~. ~4 I'~ ~a`l~t' tarrnl~•d iii l~•~ h~I. ~•~.1 „n,~~u. i~~i~ J ui:h ! l•~ i i u~ wI ('~nnl.:u~d Ju~;li: air ~yilh '(:~t Acsrswl) '1 ~ ~ . ~ f ' ~ < . : ~ ~ 1 , ~ _'lis:' . ~ ~ ~ ~ g- ~ • q `~~~r y.~~ ~~r~ - 3 r'~,aa,.~~~~.'~~,~~ - . ~ ~ ~'~'"xs,'~'~ ~ -~m . ~ . .ra ~~~=~i~~~,- . ~ . - . . _ . . - ~