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HomeMy WebLinkAbout0577 . ~ ~ • ~ ~ . ~ o ~~~.f.A.•;• r~ _ w ,-.•~t V'~~ •.,tr.-.: - _1 ; ~ ~v i.a ~.r ~e.i a t.-' l- . . 2 ~ 1 t:.. •r,• 6 L : t ~ . . ~~.r t r , e i c ~ i c, i.~~ ~ ~:~~i i. :~ti>> c~«~_~,: ~~~i~.~~ 1~~. 262'~S'~ ' : l . L3~c: i ~ ('(~l!;~'ll'. i•t.UR111:1: 'thi, is my ~i~•~~t:u~~ti~r~ ui Uvnticil,~ :~~,~1 (~itir~•is~l~i~~ in ilit• tit::t~ c~t 1•lc~ii~la th:+t t:un 1~ilinr thi. ~I:?y iii .~~cc»~~+n~r. ,uu! i« c+>nfonnity ~viti~ Scctic~;~ '?~?.17, {~lc~riti.~ Statutc~. ~ { I ~v;i~ I~c~rmrrl~~ a I«al rc~i~lrnt of . • . - - - , - - . ~--~__~.z1~3._ ;silci ! ' tCiq ) (Stale) ~ rrsidrd at - ---~~1~-sy_~_ _ - - . Ilo~ti•c~~rr, 1 havc ct~:~nbcJ my domicil~ to i ~ _ - (Strrct anJ Nia~~hrr) ` ~ii~ct an~ a~~J hat~r. b~i;u a ~oti;i Gclr rrsid.~nt ot` lhc- State of Ffoncl•r since ' ~ - d:~y- c~! ' • - _ _ . . noto - - - - - ~ - - /J ~ , • 19_ 7~., .~n~i 1 ~i-r,i~i~ .it -.~..~ti.rx-t?~-' - ~ o-~ (Strcrt and Numbrt) _ _:.1.-~ __L~h~~- _ . _ , St . Luc ie _ County, f'lorida, . - - - - - (Cit y ) ~r~r,•me„t in he t:~k~n .~s my cic:~laratic~n ~f cilizenship. .~cluat le~al resid~ncc an~l doinirile in th~• St:cte oC i~foricla. (Insrri hcrc nny pcrtin.nt facle, such as tialr ~+f pto~~.rty or bu.incss, ur rclirequi~i~mcnt of rmplo~•mcnt a! formcr ~ domicila, trmo~al of f:~mily tu n~~v ~~~n~icilc, punhase ut I~omc. rtc.) _ E - - _ _ ~ ~ En~ering children in school: ~ ~ . - ~a ~r~ ~zo~s ~ ~ SLl~~ CtlUltTT FL~. ItSC~A ~vitR~S ~ ! cafRx c~ncwr cou~tt ~ Il£COR~ YERsiIED ~ ~ ~ 36 ~'~3 ; : 262'~'6'7 _ ; ; , ~ ; ; . ; ; i I FURTHER ('EKTt1~Y that 1~:jill m~istrr at rny loc:al address ~vhen ihe registratio~~ books reo~~ra~, and { t cc?mpty witli ail otiicr rcquirc:rn~:~its of a Iz~~a! rrsident c~f tltis State_ • ~ ~ . ~ : r i 1 FURTHER CI:RTII=Y that I It:~~~~ no intcnlion to rcturn to my forn:cr domicilc, and 1 intrnd to remain in ` ~ i ~t. Lucie : T`_t'c~~------ Cot?:tty, ' l~lorida, ~~crn~ai~ently_ (c~''~~ . ~ ~ ~ ~ _ _ , . _ ~ j ; ~ i : C . ~ ~L~ D . D •,3- - - - .~\~C~U'•~'~ vA~i..> (Ti:lnle~ • ~ 1.4~ ~~1•, ~ ~ . ` ' ~ I~~ 'v ' ~ • - ~.s O-- -S~ - U~--~--- - - - yh~;~..~ : y.-~,#{; - c: a = (naa«.sl ; . t, • ~ ' pi • - ~ S~tr~t~ft l~ r~1i ~~,ci b~fczr~ mc thi; ~1:~t~ of ~ ~ 4~,, 7- a z '~.~;;;;•.•~Q~., - . . _ t~ . 73_. ~ ; ~ ~ ~ . = 1?O s[:K YOI7'1 f;5, CJ_E:ti: CT ~:CUT'i Ct~t~~tT ~ - , . - - - _ _ _ ~ - ~ y - ~s ~ y ~ ~ 5~ ~ ' ~ . , c, _ a~~c~s ~ (To h.• ~~r~ulyd ~~i J~y I~~.:I. ..~~~1 ~~.~..:u~l .~.i ~;i:h t 1_ii l it~uit ! uu~t~.~r.:l Ju~;~i. ~Ir :•.iIl~ 1.~~ ~l~.rc~or) ~ f ~ + zs a- ,,..u _ >L" . s.-._ _ - - ~ ' _ .:.ws