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HomeMy WebLinkAbout2719 -i P r • ~`''"'^~'"e~`~~ ~ig ~~1.'i ~~:~iiJ'~ ~~p t F'« v~1!' * ;.,!/~lf VCY0.-,~ ~~!`v ~ ~tv M~'~~ ~\~f,~~~ "~..11~ey./ ll) ~l ~~1'. S l.\ ! ~ :~!~~1(~Ol~i~~~ 1~I :1~~,1 ~~O~{. ~ ~ . : >>G ~ E: 262199 - c'u~;~~r~~, r'~.c~1:~u~: 'llii. i, ~u~~ c1i•rlar:~ti„» c~l 1)~?~~ii~~ii. :~;;~i ('iti,~:n~l~i~~ in tii~• St.it~~ c~l~ l~luiicl.i lhal I atn iilir.~~ tliii ~i:~~' i~~ accurci;incr. .inil in ic~nf~~rit~ity ~vith S~•rli~~n •,'.l I~ic?ri~la Statul~s. I w.u frrmrrl~• a Ir~.il resict~~it c~( _%~-t.~~~t ~ , ~~,~nd 1 lru~. . - ~ - rrsi~trcf at -.}la~~~~vcr, 1 h.i~•c cha»~cd my do~2ucilr tu ~Strcrt anJ l~Iumbri) ,~ncl am atid h.~~~c tx~•~~ a bui~a fi~t~~ r~ ~i~lcnt oi ihc Stat~ of~ t~lurida ~incc ~dal~ of . now - ~ - - - - - ~ ~ ~~-T-~-, and 1 /~c,idr at _.l~ L~--~ _ .~G-z-'`G - (Slrcr J Numbcr) ~~.-~-l"l~~~--.c-~- _.~1~~ - St. Lucie - - - _ County, rlorida, (c~~~•) and this statrment is tu be t:?ken as m~• dcrf~ration c~l~citi~enship, actuai ir~al resid~nce and domicite in the S.ate of ~ioricla. (lmeri hrrc aoy prrliar~~t faris, +uch a> salc ot F~r~rprr2y or hu~iurs., ur reGn~=uishmcnt ot cmpioyment at former dumicilc, cemoval uf laniily to uc~v d„+nicilc, purcl~:~K uf lu~~nc, rtc.) . ~ntering children in school: _ _ LE~ AMO RECOAOEO ~ ~ LIiC1E COUM11? f~A. ` ~J~ IIOCf R PO~TAAE ~GzLa~s...~ G~---x~ aFCOR YEp' IEQ COURT ~?y~ce~~ ~~~e`""`'c-G' ~/~~~K~ ~ A~ 13 I os PM 13 ~~~.-~-~-n- . ~ . . ~p 262199 ,'~/~.~~it ~c.r ~~%x~rr . ~ ; t FURTIIf:R CERTIf=Y that ! will rc,i~;t~r at ii~v local address ~ti•hen thc rcgistration books rcoi~rn, s?zd i comply witl~ all other rrquireme~~ls oT a)~,~a! r:sidrnt of t)zis State. . ~ E I 1=URTHFR CERT{I=Y th:~t 1 ti:~vc ~:o intention to ret~~ri~ to my tormer domicile, and 1 intend to remaiii ii~ ~ ' ~ ~ ~ - - - St . Lucie - ' , C~u~tty, r Flonda, ~~erm:mcntl~~. <<~~r~) ~ _ ~ly:2L~.~~ - - • _ (Namc) _~L~~~-L_.~~~_ _ Q~u-~ - . ;;::tt~/a~U~!/ . (/i~dJrc,~) ~ rr~:$~ ~j ~j~i~ y S~vc~rn tc~ .im] .ui~~~r~h: c; h•,•1c~r~ n~~• ti?i, ~ 3- tL~~~ uf ? J4`~~.~•'~~E~.•~,~ /i~~`'~ /i~~ 73 •~;~M°~_;:..•..~o'" . . # : - L~c- _ . i). 1 v . , . , w = i :t(3G PO I~ RP,.; , C I E ~,4: C I RCIi T~r cot~:;"C r- :.;3 : ; . _ - - - - - - . _ _ ~ , ~ ~ ~ ~ c . ~ : . ~ h • ; • ~ ' V . ~ ' ~r, • ~ ~ v'....,aA~~ ' . ~ S ` - ~~u ~ . , (7~~ hr r~.eul~•d iu J~~~:i~~ .~}~~i ~:~.il d J~+itl~ t'Irr1, 1'~~i e~~l l'vu1l..~n:! ah~plii:~li• ~cilh 7~x Atx^.~~~~) i 800K 217 PAGF 10 _ . - . • ~ ~liSr- *`•y' ~ 'iu;'; ~'`~TSe."~-, . ~,~P~ ~~~v'~s~~-M+'~~..~ yx~-~ ~t -~Ci-~'~. EdR^~e~t5 ~~~..'~`ss x, . _ : -