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HomeMy WebLinkAbout0637 ~ r- g e.~p•. =x+s~f ' .t~ F` ' • ' f k _ F{ Gr' .~'.t~~ . l a~ 1:..,' V'6 ? l.ita~ ~~1~ i`~ ~~~ll.~.~-~~~.-7S Ei~~ au !!f .~~i i~ ,~~.i, c ;»~i ~~;,~~z. 262815 ~ . L~:c ~ . t'(~l~ti l l', I~Lt~{'Ii~;~: ~Ilii~ i~ i~?~' cl~•tl.~~atic,i~ c~f Uc~n~i:ilr ;~~~i~ (~tti:c~•i~,i~ip in th~• St:it~~ c~f t~luricl.~ that i.~~ti lili~~~ lhis cl:~y iii acrorcl;ii~«..in~i in cc~nfcsrn~it}` ~ti~ith Srctic>n 1~, l=luti~l~~ Stalutrti. . . I~i;~~ form~•i~ly a l~•ra! msidrni ot _l~-~ and 1 • _ ~ • . - • ` ~J ( ~ 1 (s~ uf - - - . ,y~~ ~ residcd ar ~ f~~ ~J ~a fL ~ ? ~ _ _ : ltow~~v~r,-I-l?avc>-cl~a~i~c~1-m}- cic~siiicilc tu - ~(~ltr yut) !3 tii T!~ j . . . . . - . . . - . . anct n.~nd h.~rc bc.~~ a bc~~~a Gcl~ rr~.icl~•nt ol~ tl~e Statc oi~ f~lorid:+ sincc day ol~ ~ no~•t ~ ~,p i t~. , ;ii~d ( /r~~iclr ai . ~~/D C. 1 = ~-d" . ` _ - - - ~ - " - • (St~cet and Numbet) ~ St • I.UCI.@ _ - - County, rlorida, (City) and this st.llCl]1l'llt 15 t0 hC taken as my dc~t.~ratiou of citizrnship, actu~l legal residence and domicile in thc State of Florida. (Ins~rl hrrr any pe~tinent farl,, tiuch as ,ifr ~t propert~ or husinccc, ur rrlinquishment ut employment at former - - - domieife~ttmm`a4.,f Mmily-te?+rcw~kaH~iei~a~.-i+~+rcl~:~w. •,t l,uwc, clc..)- Entering children in school: ~-~z~ rn~ . ~~LE~ 4NC RECORpEe f? SLLUC![ COUNTI' fLA. ROCf~ F~1iTRAS ~ CtERK CIZCUIT COUR~ RECORn YE?~FIED ~ +t f ~?4 PM '~3 262815 f I FURTHER CI:RTIFl' that I will r:;=i,ter at i»y local adclr.ss ~~~hen the registration books reopen, and i comply with all oihcr rcyuir~mrn~s of a lr,=a1 r~,i~irnt uf this Si3tc. • _ , ' I rUKTHt:R Ci:RT[I~Y tir.~t 1 ti; vt nu inir.~?tiat~ to r~ tur~~ to n~y forn~cr domirilc, and 1 intcnd t~ rc:main in f ~ St . Lucie ~ f - - , Cot~tlty, Florid~~, {~crmanrni)y ~c~~~•~ ~ - . ~ --~e~~ - ~ - ~ - . (N~me~ : ~ ~ 7 - ~ " ~~/a ~!1 ~~Z~~/c~- . ~ ` , •v'+, C a ~ 'j, . (AJJress) i .;i~ :•f •~_C ~ •%i : ,S~orn' tt~,;~K~:~yyj~s~ rihrd h~fr~rc r?,~• Il;i~, 'j! c~:i~~ ~~f ; , a • , _ - : ~ ~ =r'_.~ ~ ; ~ - - ~ - , , f1. l 1. 1 t) _ 7.S . • ;>;.~'~~-~~'~T-1'?tI:5, C1.rlZl:. (;I ~(r[i, CO~~:;~' .~.~+-~-t~~.~~ t-.= - - - . ~'j/%:~ E~ G.~'~ u R ~ ~ _ ~ ~c cn deoK~~B PACf 6~6 ~ y ~ , ~ ; . . . I l~i t,•, a~. •~iF ~l i~ J.i~ ..h .~.ul •I ~it. ~!i. ~ I~ ~l 1'~r. ut: 1'~~uri.:m~l ~t~~~~l~: alc ~•.~Ih ~1.~~ A~ ~ F - ~ , _ . _ . ~ a _ _ . . - ~ ~ = ^~a^~'~