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HomeMy WebLinkAbout2739 . ~ ~LC~~::°c ~k~i T:1 C)~ ~~~''s ~;~i~~ ~~C .~il~I~.'~;~.~. : ' 1O l~Ili~ ti~f:1l .111) l Ot`\ 1l' '1 ~1ti~t ~ti{ ;l:. S C. l.uc i:.= 262215 ~ _ . _ ('Ut+~ i l', l=t.t)i:ti~,\: ~ t ~ 7~lii, i~ tn~~ ~t~•c}:~r:~ii,>n c~t !~c>~:~irili• ,u:~i ( itirr,,..l~i;? i:s It:z Stat:• ul I~ic.~ri~la t~ist 1:.iu iihi?~~ tii:> ii.+~' i~~ a~~ur~t:~nrr.:!!)l) ll~ C(111~Oi't111t1~ ~riti~ S~rtioii ,,,.17, i=1~~riJa St;~t~~tr.- 1 wa~ t~ormrrl~~ a I~ La! r~,idrnt of _ ~ ~ C ~S ~ ~ ~ ~ E - - - - - , - ~~4- - - - - - and 1 - (c'u, ! l~tatr) r~si~t~d at ~~'i~_~~1!l~9~g~ _C~ APfR. Ho~r~v~r, I tia~e ch~nz~ed ii~~~ uor.~~cilr ta <Strer~ a~ed humb.-r) :md am aitd havc txri~ a bc~«;i fctc rr~id~•~it c~t ti~c St.~tr of hlorida sincL daY uf no',a - • 19----- ati~i 1 <<i~'r at - t.r~ ~ ~Q~ . cs~.K~ ~~m~~~ _~S~.r~__..~! ~ i'.1' - St. Lucie - - - Count~•, [=1orid::, (c~is> and Utis sialem~nt is to be lakcn a~ w~• deciaraiion ~f citirenship, actual legai r~ci~ience and domi.it~ in the State of Florida. ~ (In~er~ hrre any ~n•rtinrnt facfc..uch as vte of pr..perty or ~u,inrss, ur rrlinquishment of empJoyment at (wmer ; domicifc, remuval of taenily tu u^~v dun~i. dr. purchzcr ut Av:nc. ~Ic.? i ~ Entering children.in school: ~..~%v~' "U f~lMCtf ~ ~ ~ ~ ~e~A ro f ~ER c~pT COdAt ~ - 1 - - ~1~ 2 ~~.~3 ~ f 2s~s . ~ I(~Ul2THl:R CERTIFY that 1~ti•iil rc•~,i~t~r at rnt~ lacsl adciress ~rhen I~tC' 7C~'iSZF~tIOD UOOJ~S TCO}~en, a~c1 com{~ly ~ti~ith ati other rcquir~mcr;t; ~f a]t~:~l rc~i~eni c~f t1ii, Si::tr. . ! 1 r'URT1~[;R CT:RTIF~' th:+t 1 h:,~•c no intc»tion to retu:i~ to my tonncr domicile. and t intend to rcm:~ir~ ;ii E ' ~ - St. Lucie ; v r f %~rc= ~ , ca~„~~~. ~ - - ' Florida, pcrmanrntl~. . ~c"•~ ~3e 1 e Ne ) _ ---~._.e.~,..~ < ~ (t`ame) ' ~r.,~~ I ~SJ _~!Y_d~ --~1.•~---- ; ~ ~ U 1 T,~-..,-~~j ~ L/ _fc - - - ~ C r (Adci~cs~) ~~uV~~.,. ~G , . } ' ~ S~ ~.i ~~~~irt~,GP~r~t[br~t hrfc~rc ntr ti~i~ _ da~; of ~ ~ i ; ~yt'.-` ' :-Yt,1= ` ~ ~ `~'ar ~ - p" 73 : _ ~a--- - . ! - - - - : r ~ i . ~ ; ~ iztts, c~,a}; c~ zcul~r coi~~~ ~ ; ~.::~:e••'-~~ - - F ~~e~,r~~~, . - - . c~ - Tl.~-,ur Cic~r - E y ~~7 ~z~o (lu Ix• c~:cuted iu .le~~,l~ u• ~nd nn fd. y~.i7t~ 1 t. l weuN 1'outl, aj~J Ju~b.~~e..~~h 7~. A~•rsv•~) ~ - - - . ~,_-w. a--"~~u ~ ~ -~-r~.t'- Y„~' . _ _ _ f ~ `'~~y'i~s.Y~-~,a~`; F