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HomeMy WebLinkAbout2745 r,-~ ~ . ~ t1•+ • _ t. . •~r r~...•••,~ ~!`~~'1 t'1 _ r L ~ s ° r•~ •.~ti ~ ~•a?V~E..w~.etit~rai .1~ _.J~.? •?:\~:e~~ t..:<Z~.+ .:~i.~r.~..i~...~..+ ,~~-ii~~ ~i.~ij~ :~~i,c~c~~,.i,~ i 2fi2219 :3 t , ~,t~c it~ . (~i ?l! ~~l~l'. 1 ~ 1.( )R I I "1~1~i. i~ mv ~I~•cl.ir:rtic~n ul 1)c~s,ii:il: :,i~,l (~il~~~~~~hii~ in lit~• titalc ul I~Ic~ri~l:~ il~.it 1~~t~! Iilin!; tlu, cl.:y ii~ arc~~c~!:u~rc, an~ in c~,nti~niiit~~ ~viti~ S~~:tic>~i ",.1?, t~luri~ia Slatut~ti. 1 ~~~ci. fc~rmrrl~~ a I~;~al r~sicl.• tt of . -Tn!__.~ei~~-_hT , - - - :u~cl 1 ! . W . ~ (llI) 1 (SIJIrJ . . r~•,id~d a! ve ~~~/SoN- ~_ye IIo~~•~~•~r, l ha~~~ cliang«I nty ~tc~sturtl~ to (Strr~t a~~J piumhcrl and am and h:~vr he.~~ a hona ~ci~ rrs::irni ol lhc Statc ol' t~loricl.2 sinc. day of llOl~' ~I~ G ~sT~ //~~o-~x~ ~ A~e-__------- - - - - - - • (3lrcrt aoJ ~lunit~et) - - - - ~ s v C i F' , - - St . _Lucie-- County, Florida, ---~-!QL--- - cc~~.~) and ti~is statcmcnt i. to Ur tak~ ii as ~u~~ ~irclarat~un c~f citii~i~,lti~~, actual legat residencr ai~d domicilc in 1hc Statr ~r r•ior~~~:~. (Insrr: h~rc any prrtmrnt t~cls. wc!~ ac ~alr ~,f prc~p~rt~ ~v bu,inccs. or trliuyui~htncot uf cmploymenl at (unn~r domiiitc, rrmucal uf fa~nih• to nr~x Jomicilt. ~~u:h:~+e ~if homr. rlcJ Entering children in school: C~~`"`~c. ~t' r~_~ FILED ~NO RECOROtO sT• LUCIE COUNTI? FLA. CL RK C RCUIT COURT - RECOR~ VERIFIE~ , ~ ...r. ~ 2~ 2 ~s PM '13 ~ ~ ~ ' 26~1.9 1 FURTHI:R CI:R'!'I~Y th:st 1~~~ill re,~i~ter at my local acldress ~~~hen the registration Uooks reon~_~~, ~:~d comply ~vith all Olher requirements of~:i :e,~:?1 r~~si~l~nt oi~ tliis Statc. • 1 PURTHER CGRTIFY that 1 havc no int~ntion t~ r~turn to my f~rmcr domicilc, .ind 1 intcnd to rcmain ii: ,S`G_1 ~9 ~~ve fo~T1S'T~~ vc_i~ ----:~t. Lucie _ c'ounty, Floriclahpcrn~ancntl}~. c`•",-> ~ . . . , - . : , - . . - - - - ~ ' ~ ~ -ti CQ~~'• ~ (Namr) ~ ~ . ~JV• ~~~/~~r~~:' i _ J~/~.~~ t _ , ~ ~Addrr~s) ~ ' , . ~ ;:~~tc~~t4 ' . scrit~c~) h~fc~rr mc tlii:; 3~i:i~- c~f : ' _G~(:~ A. i ! 7 3 . ~ ~..i. - - ~•••RnC~~t: OI"1'KAS, CLL•'RK CIt~CUIT COUi;'f _ _ tr------- - - ~ ~1r,~. ~ B ax217 ~cE2?36 - i?~;~? ~t:y c ~ ( f~r hr r~cculcd ~n Ju~~l~~ .JC .n~a) ..~i,'~n ':L ~ ~~h ! 1• rt t'ir~ ui~ 1'~~~~fl. zntl J~~pli~ atr ~~'ill, lat i`s~r.ra~ ~ _ ~ J'~ ' _ ~,,m~.,~'s'~~ ~ ~ ~ tiq ~Y4,1 . , ~ ~ . ~ v ~ . _ - ~ . _~ti .