Loading...
HomeMy WebLinkAbout2931 . ~ * . . " '~il C'~~ ~'`~T~i~;'~~a ~:hc-} ~;`e ~ ~ ~ .~i : C: ~ C:~ • . . o • . ? ~..a . ~ 1~ J.~~... _ Il ~ i .~i rc~ ~ iti~. s-i :~~ri: .~?.n c ~c ~t~~ r~~ ~r.•~~ ~~.~~i ~~~>>t, . 262.3~3 ; SC.1.t;Cie ~ _ _ _ _ ('Ut~\'1'1', t i.c ~i:!li:1: i i "(l~is i. my ~lrrlarati~,n c~( 1)~?mir~!: :u:~i ('i!irc~~:hi;2 i~i th~ tit;st.~ of l~iuri~la tl?at i a~u tilin~ this ~t;~y i:i acc~~nl,uticr, :~nci in ~c~nti,rmil~~ ~ti~ith Srrti~~n i 7. I~i~~ri~l:~ Stalutcs. • 1 ~vas fornirrly a irr:~l ~~Sltlrtt2 :~t~ _C~D__1'~ _~l1~ _ - . and I (('itY) ~S'-`ej-- r~~i~leil at ___~Q~_ C_L_?'!_~_Q[. ~_~-t_Q ~°-f---, . Ho~4ever, 1 I~ave ch~nged my domicitc to ~(S[rrrl anJ/Ptwuhrt) - aiid am anJ ha~~c brrn hona tiu~• rrsiQrnt of thc St;~t~ of Flc~rida si~icc 7 d~y ol~ nota --~~-~1_-5-~---- • 1~~- -~f-.~, .ai~ii 1/~'csi~it at - -.~~-~_l-- ~rv~-/t~U'F ~ ~ (Strcet anJ NumMr) ~ St . I_ucie .,l-.-U-t~ ~ ~°-_r ~--~---.r`_ - - - Cou~:ty, Ilorida, - - ' t~'~~r) aiid this statement is to Uc takrn as my der+aration of citizen~hip, acti~al lebal residence and domicile in the State of Florid~. (I~~xri hrre a~y pcrlinrnl fa~ts, surh as salr of pn~perty or businrss, or telinyuishment of mploymrnt at former dumicilq rcmo.•al uf famil~ to ne.~• dom~c~lr, purrh.u~ uf ho~nr, r~cJ Entering children in school: _ f f~ ~ ~ i~/V / ~ ~ ~ ~ y , ~vo~ G~'~r~~~ J~, . G ,~'~s r ~ G' ~ f~ ~ . k ,s/~/' ~P. i; ~/r ~~`~E0 E ~ ` ROCER PO~TM= ~ ~ CLERK CIRCUIT COURT ! ItECORO vE1~1f~E~ i ~ Aua Zt 7 S~ ~M'73 ~ 262343 s 1 FURTl1ER Ct:RTiFY that 1 w~l1 rr;,istcr at my Ic~cal addres~ whcn the rcbistration books rcoprn, and comply ~vith all other requirem~~zts of a I~:;~: I r~sident uF this 5tate. - I FUKTt1ER CT:RTIt~1' that 1 havc na intention to rrturn to my formcr domicile, and 1 intcnd to rcmain in St. Lucie ~ ~p f ~i~~/C~ ~L~ - - - - - - - - Cot,~sty, F~lorida, pcrn~• ~ ~ ~ ~ , , . / ~ - ~ - - - ~ -14~~%J - - - - . ; ' : (Namr) . ~ - ! , ~ . i-""~:~ } . i` • ,~,~6 / _ s ~ ~ i- ~ ~ ~ . . . l - - - ~Addr~cs) : y,. ~ ~ , , ~ . ' S~vAiii.ro ~f1~l.SUt~k.'ri~i=~.t i~e1~~~rt• m:~ thi; .~_7- ~I:iy of ~ 1 . r~. - - ~ ? ~ n.U. s~> 73 . ~ - RO,r,'ER l'0.1'!Zl1S, CLE:t1C CTicCt?IT COII:{'C . _ . _ -t.---- - - - ~~`c_ U~ 6001I 2~~ PACf ~:~7~.~? ~ - ;e~~til.•~- ~:l 11. ( lo h~• a•a~ ~-u1rA in du;~li..N~ ..~~J uul Idr~S •..~~h ~ 1.•~I ('n~uil (~~url..u~it du~~l~,.~lc ~~~tl~ la~ A~~.••+nrl ~ ~ ~ _ - . ~ - ~