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HomeMy WebLinkAbout0735 R • ~"0. . .~.C ~ f'r i' k" ; ~ 4`~ ~ ~ ? ~ - ' , - ~ . . rv.~~i.f ;~G.aZ.'.1: e~ ~%i. ~r : -`rl ~.s a~. __r.: _ . . . - !(j 1i!! ~"1-~1; :11t)(()IS\11''t:1\ f~`~:! `•~~t};, ~c~c~ v v J 1. . ].t!C i c' _ C'OU1'I'1', 1~ l.t ?I:I!):1 'I~hi. i~ n~y ~t~~'larati~~n ~?f l~u~nicil~• ;~~~~i ('itiii•r;~f?i~~ i? l~i; Sl:ft~~ I~i:ni:f.~ th:~t t a~,~ fiiin;~ ;1.:~ . .....1 nnf:,rri~ilv ~vitli Cf~rfiru~ ~ ~l ~ 7. ~•~i)11i~:i ~~.t1i1(Ci. !~t~:t~ formt rlr :t !~•~~a! rc~i~l~~n1 01~ 2~ 2-1 ~/~//~'Y}~ ~1~1.t~~ l. m o rv T _/UC lv ~o/~ ~~~j:i ! . (('it> ) (ti~.~tr) i~~~iclr~l al ~ . lio~~•e~•rr, I li:i~•c rl~:~:~;r~cf n~y ~I~,liii~ii~• 1:: - - - - - - - _ (SUrrt ~nd Nmubcr) anc! ani ,~ncl ha~~c bcri~ a bo~ia fi~1~ rr~iiknl ~~t~ tlir Siat~• ut~ Ilc~ri~la sinc~• l~~~/~" 2 D ~iay ot no~1 ~ _ - - , _?3_, .~~~~I ~ /~~~~~t~ :~c,~za 7 My~2T 1-.-~ _ ~ i v,:--- - - : • (Strrr~ :,ud Numhrr) ---~o_g?- ~ - - s~. I.u~~~ ~ - - - - - - - ~~O!Iltl}'. }'~017c1_i, - (C~ty) :~«i! ihis sl:~tem~nf is to be taken as my decl,iration of citizri~sl~i~,, ,ictual 1~~;,~1 rr~idrncc an~l dumicil; in the ~tat~ ! nt 1=1ori~l:i. . _ _ _ (lncer~ here any p.•~tiurnt facls, such as ~.~lr uf prupe~ly ot hu~ir.rsc, or trlinqui~hment of empluyment ~t Anmrr domicile, remuval uf fami~~• tu nr~~• dumicil., purcha~r of horne, e~r.) . t F~~f 0 ANC REC ST.IUCIf COyt~~~t~ , ; ROCEn' POitRAS ~ ` CIERK Ct,:CtftT COURT - REGQR9 V~P,IF1E0.+.~.. S~ 5 !0 02 Ah '73 262864 ~ . ; ; 1 rURTI(f:k CER"I'1(=Y that I will r~,~islir at ~t~y loc:i{ address whc~~ tltc rc~~istratic~n books rco{,cn, ac::1 c~ntl~~~«•ith ail_,olhcr rccluircm~nts ol~a lc~~ai r~sscl~nt c~t this Statc. ~ - • 3 I I~UR`~~f~t:R CLR7`ti=Y ti~at 1 ha~~c no intc~~tion to rcturn lo nty for~ttcr dou~irilc, and 1 111ti!)(~ 10 Tiil)~,in Fo~ E2~F--- - - - - St. I.ucie . , - - - - , Cottttl~~. ; l~luri~l:~, I~tir.uu»~;ptTy. c~-~cy) _ C ~ ~~A,,~~~, _ : ~ • , . ~ • ~j `~1 r ~ ~'(j - • ~a >s~'. ~,~Qr.~ - - - ~ - L.e/~?e~eT - • ti:,~„~- ~'..s# ~ ~ + - •!y ~n ~ a = ~ ~ . ~ ~ L/"Zo 7 / i2~~~ ~[S/-?'c~'`e • ~ .),-:4~.~ - _ . _ . . , f. ..r ~ ~ ; ~ ; r~ ~ /~(~Cl'\~, ~ S~ y~'t ~ - . ~~c~ur'n.lc~ ir tl•c~? ~s~Q~tQici4 h~ t~u't• ?:t+~ lhi. ~ ~la~,~ c~f ~ f ~r r i - ; . - - . /1.1). I'1 . ~ a:~':;T:i: I'o7T~r~S, CLL'';;~~ CTiZl;lil`:' (;C!jrtT + - - - - ~ BOOK ~~O PACE ~J'~ j /iU 1 UC:~iltt.y ;;(.R~~•i; ; ~ ~ ((u c~i'cbir~~ IN ~~u~~l~. J~ aq.l ~.n ~n~ ~~tt:: t i. t{ 1 .'U 1~ini71. =n~1 ~1~ ,~1t, ~1 ~.r.l~ 1.~~ .~.r) i - ' - ~ ~ ck",x-~+ - ~,,,r~ +~~w}'4t } ,,.e•K~~-~~" ~_=~'+t'~"~ _ § ~ y'~ ~ - ~r Y,4 ~ -..r ._~5.~`ris ~'c~..~e~^.c~;-da~:J~