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HomeMy WebLinkAbout2359 af ~o~;~;i~e ~~~d C~tiz~:~5~-~~~ . T ~~x nssi~ss~ti, ~ 2~'~"~6~ ~ I t) 7~1i1~. S'I~A"1'i~ Ahl) ('UUN'CY 7 . S'T. 1.U~Ii: - COUN1'1', f~LORIi)A: ~ ' . . . _ , - 'il~iti i~ nty ~Irclaratiu~i ~?f Domicilc ;ind Citir.en.hi~~ in thc Statc of Florida that 1 am filing this day in ` i t,r,l.+~2rc, .?nc1 in eunfonnily ~~itl~ Scction ""2.17, ~lc~rida Statutcs. . ~ ~ ; ~ /~/C~~ri~`IN and 1 1 ~ 1~ras formc.rly a Icgal rc.idrnt of ---------~c~'~'~- (state) i~ (City) r~.i~lcd at . ~ Q~i-''~d'FS 1-~'_~~-~_=9PT~/ . Howc~~er, I have chanbcd my domicile to 4 ..s~.~ (Sttect anJ Numbrr) ~ ;,,,cf a~ei ,~n~ l~c+~•c Ixcn a huna fid~c r~sidcnt of thc Statc of ~~lorida since ~3{ day af - O~TOG'~•~'------ • 1`~ 7`''~--, anci 1 rrsidc at /12_,3 _8/~YSfIOiPL: D~P._ 10` _ ; - - - - - (St?eet and Number) € T ~~~c~ St . Lucie_ County, Florid:+, _ - - _ - (c;~~~) ::~~~i ti~i. statrn~rni i~ tv be t.~~Ctl :iS lt:y ~~•lar.~liu~~ c~f citi~enship, actual legal:residcnce ai~d domicile in the Stat~e ~~i t~~oria~, ~ ~ (Inscr: h:rc any ~•.•~ti:~~~~~ ~ac~~. ~uch as ~:.1a ui propcrly u: tusi::rss, ur ~elinquist~uient of rniploymcnt at fotmer domiceSe. ~r.movaf uf faiaily nc~v Ju~nici!r, p~rch~se of hu~a~. ctr J . . Hni•tES'I'EAD i:XE~iPTIU*:: ~ - ~~::i fL~tl ~tG CNILDRE:i I~~ SCHOOL. ~ ~f e:it~ri_t~g chil:.rei: in S~hooi, 29~„~, pleaS~ist ~~~~~r nai~eS: ~'4 ~/d ~Y ~ r eLW^'E COVMTM~~O ~ ~,y-:~+~-~~.~~~~. n~LF~ ~ ~ _ RE ~R~~Y Ri~iF T OURT A~- w~ ~ ~c [J 1 0~ PM , _ _ N l~ M ~ V V ' I ft ~ " E . ' { 1 FURTHI:R ('E:RTIt=Y that 1~viU register at m~~ local address when the rcgistratian books reopen, and r~mply wiih alt othcr resluiremcnts c~f a Icgal msi~lcnt of this Statc. 1 I~L'lt"fH[:R C}:R~'lE'Y t~1Jl I Ii:1vc no inteiition to r~t«rn to my former domicilc, and 1 intend to remain in . /=o,PT--~~~E2cr" _ ST'_LUCI~ _ Co~~nty, ' cc~~~Y ) i ioii~i~;.(~t;rtnancntly. C.y/~=~FiE.t' /~NCSTizO/~'/ . GO~:'• - ~`-t~C-Q.~t/' ?r~ ~Z1i~? Gto"L . - - - - - . ~ ' . . % - - - - ~IG1~1~~TIIRE ~ c • ~ ' . L•. ~ . , oG • ~ . - . . ' ~ ~ . 4 •Z cr -----S IG:~[~'1'URE . ~ `t~~~ - . ' ~a~fibrd bcfc~r: mc tl~i~ '3___ day of , ~~y~l'11 tt2](~.~ : . C, ~ ~ ~ ; ` G~+~.•~ 74 /Y 1~.l3n~YJ~/G~C D.P, q!'%yo ~ i , A.1). I ~s - • - - - • - - - - - • 11 lil'~.~ C~( t E'- S S ?~OCs:R 1TF./~S, ClE3:i: ^7iZCUTT .'r ,oit=%'cc- I~lorida ; _ ~ , ~ jj ~~~IE,t,L ?CtLltiG-(i~~ i)P.~:llty ~ ~ _ . - ~g (('u be c~.rc~dcJ in dupl~:at~• anJ ori~in:~l i::~•~! Nilh l'Irtk Circuil C~n~rl. and dupli:alr ~.~Ih l+~ Ass~tW'r) T~ ao~K . ~ p 234 - 2358 s- - - _ _ _ _ ~~,r~-~. ~ : } ~ ~ ~ ~ : ~ q. ~~~L ~