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HomeMy WebLinkAbout0654 Y' w • ~I~~~_ * ~ 0. .'`'-v~, s~' ~ 1"... , ! ~ i- 1 ; * ~.,...r:i..6\ . ~ .r'i ~ ~[t.~:.-~.+ ~~<r`~.~ ~i ~ . ' li~ ~li; tii 11: :~\!?t c~~i,".Il"I;\`~:~`:~,! titi;~~. . ~ ~ ~ ~ 262825 c'c>t'~ I1'. t~l.c}I:li,~~: ~I~lii•, i: ~i~v cl~~r!:lr:~li~~n ui U:~ini:il~• an~l ('itii~•ml~i~~ in thr St:~lr ul~ I~Ivti~i;~ tliat 1:uu ti!ir.~, thi. ~3.~ti• ir; • .ic'r~~nl:~n•.'~•. :ut~t u~ iut!tc~nl~it~' a~~Ul ~r: ~i:~n i i, i~iuriii:~ ;ii:siui~.~ - ,p ~ KZ~'~ Ro~~ ~~L~ ~vo~s . 1 w:t, t~c~nnrrh~ Ic~~:il rrtii~l~:nt c~f ~!l - ~ - - - . - - _ :tnct 1 - _ _ - (CU~~~ - _ _ _ _ _ lSS,~s.• . _ - _ _ rrsi~ir~l at _S_ ~li!~1d/~~ ~ Ilowr~'rr 1 h.ive cli:ntgc~l tny du~iii~il~~-~i~~ ~ - - > _ =-r___._ `-'(Stn•rt ~uJ NumLrt) :uui am ai~J ha~~: hrcn a l~t~n:~ ficl~ r~s~cl~nt c~f thc Stalr ot I~Iori~L•~ ~inr.~ day o{ no~a t~ ~lu 1- - , 3__. ~ ~_a_o_~ --l~o~-- Ll - ~ _ _ , . - cs~«t~ ~~a n~:~,~~, - - ~l~.~e ~ _St. LuCie Cot~nt I~I~rricla, et - - - - - - - - - - - - cc~~c> ) ,ind this statrment is te~ be t.iken a~ ~n~~ cl~•rl:?rat~on ~~f citiz~ n,llip, actu;~l Iebal residenec and domicile in thr St.:tt• :;4~ F!~~s~~. _ - - - - - - - _ _ - - Qnscrz hcir ~n) perli~~cut fa.ls. ,uch as .:~Ir ~d pruprrly ~r Fu~~r.rxs, or rclinqui~hme~il ai rmployment at onnrr d~,micitr, rer~~u~al uf Ic:mily to nr~c duruicile, purchak c~f hutne, rtc.) Ei~terin~ children in school: ~ , , /~1 ~-1 ~ ~ ~ ~ ; ~i~o ~?N~ ~ECO v ST. UICtE C WilTY~ ~ ROCER ~~ITR~Z ` i CLERK Clf;CWT COURT ~ RECQRD VE?~F;EQ~.~~ ~ P! ' 4 ~ S~ ~I 2 s~ PM'73 ~ . ~ - 2~2825 ~ ; ~ ~ : . ~ I 1~URTI~t~.R C[:RTIF~' th~it 1~vill rc~~istcr at my local addr~ss ~vltcn thc rcgistration Uoo}:s rcOPiSI, a~~d ~ ~ co~n~~l}j ~<<ith ail othcr requirerri:~nts of a leral r~~id~nt of this State. - ~ ~ I FUR"THCR C'I:RTIf~Y that 1 ha~~~ no i~itrntion to rcturn to my fornicr domicilc, an~i 1 intcnd to rcm:sin ir~ ~ - _ _ _ _ _ _ - _ _ - - - - - ~ G l~~ ~ IeC'~ _ ..t . Luc~e _ Cot:nt~~, ~ - 1---- - - - - - }=lorida, {~crmaiujitiy. cc•~~~> ~ ~ ~ ; _ ~:1_ ~ ~ ^ ~ . ~J 1,~ ~ ~r ~ . ' ~ s ~p ~ ~~C~G~~ ~ :yJU~t~~., G r~ - - - ---~n~~~~e~ _ ~ _ . . . . ` ; . _ { ' ~I. .~i , . . : . _ / . ~ . ' ' ~`~~e~'I ~ p - . - - ` - - - - ~ ~ G ~ ~ r - / V c~~ • v9~~. • • ~ i ~ ~ ` . ~Addrex ; ' ' ~ ' /t~ ~c.,e~~ ~Q ~ ~ ~v ~ ~ ~~tioy:~T:jt};itti~'SU~i~~~t'1~c3 t~:f,:r: in.~ ~I:i~, ~ c~.t}'t~t G ~ ~ ; ~ : - ` ~ ~ _ foT- ..~.u. i~l . # ~ ~ ~.~~,s:~; por ~•ft~~,s, cl i~:::~:. c~ ~ccutl~ co~~:T ~ - - - - - _ _ _ ~ w:. 's ~ - ~ ~~.f . . . y~~ eooK218 ~~3 ~ l~~::,,.~ il'(~~ j ~ ~ ~ ~ - ~ ~~..s ~~fu 1•: c~r~-~~tr~l i~, ..I~.i~ ~~~.:t• .~n~~ n:~,•in.~ L:r~: ~~rth l 1.•~f 1~!:-~~~ l'~~u~t. an~l ili~~~Ii.at: ~1~~ (:i~ A~~r~.i.t) ~ ~ ~ i. . . . ~ ~~...:',~ye~?s';`~_ ~ s _ . . -j•~r ,wzr ','.`~:.n5ea.;,