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HomeMy WebLinkAbout0163 ~ f Y ~ , ~ ,F r i ~r{ , ry, : .tiC . ~ ~ : ~'~l ~ _ q~ .~1~.ca i.~t ~1 ..F[~ E i ~ ~ 1 il`s l? .s C~L ~ r~~. ~ - ~~.dj ~~~J I(? f l ll~ ti'I~~\~t I•. I~ cOU\"1 Y I~;X ~~ti:;t .~~;Ult, ST. ti1~i1: ('(~l;Nll', i~t_(11:11~;1: 'fh~. i~ n~)' cl~•rl.~: ,tiun c?I~ Ucmii~il~ an.l ('ilir~n.hip ii~ thr St;~tc of l~lc~ri~la that I am t~ilinj this ~I.~}~ in i~~r~l:+nc~, an~i in c~~nl~~~rmit)~ with Scrtic~n i~, ll~~rida Stalut~•s. ~ I ~vat Cc?rtnrrly a Irral resi~lr~~t ~?f ~ ~J~~~~~__L - . ~~~/v~~L~T! and 1 (ctii.•> (s~~~~ ~ ir,i~lrcl at _f u-(4'~~ _ ~).TN A_~~, . llo~vcvrr, 1 I~avc cl~anar~l my domicilr ta (Slrarl auJ tvumhrr) .uul am and h.~vr brrn a huiia ti~lc r~tiidrnl ~f thc St:~tc oi f~lorid:+ since _~5 _l day ot' ~M~~~ , l~).7"~ . ~an~l .1 r~•:;ict~ at ~.Q ~ _ S.-~1'; - '--~Lr~~~~~- (Sirccl aud umixt) ~ ~ _ S L- UC1 _f= - - • - ~C l.uci_e - - Cowity, Fiorida, ~c•~~. ~ ;_ncl this stat.mrnt is Ic~ h~ tak~ n a, my dcrlara:i~~n ut~ citii.ci~,hip. actual Irgal residrnrc a~id da~ticilc in thc Ctatc , (ln~cr. hccc an> prrhnc~it t~i i~. ~ucli ~.d~~ ~~f ~~ru~•rNy r~: ha~irr~s~ ~x tchnyui.fifnent uf rmplu>inrnt at furmrr domicilr. r~-~notial uf f:ur.~l~ ~u nr~~ Qunuci!~, purclrr:.• nf homr. ~~le.l 1:~....1::?I..G CIiTLi)~:~.'; T': SCI'OnL: HO~~~:STI:AD L'1F:t•iP:'7(~':: 1_'J l f e;:tcr. iT~~ cliilc:re.~~ 3~i sc;zo~~ ~ pie~se ] i st the~.r nat:,es : ,2982 . 95 f CfC • - - r ~o~Hiy Fi~ CL~~OL,: ,.;;~;R~S _ - RFr,?r. ~r;~.r'i ~ ~4uRt ~lIY 1 ~Q 2i~~ / , Ak 7~ , ~ - ~ ~ - ~ ; • ~ ~ ! ~ s ~ ~ ~ - ~ 1 l~l?It~~ltl•.K Cl:lt-fli=l' that I~~~ill rr;~:~tcr at my local addrrss ~vhrn the rcf~isU.lti(11l books rrc~~~cn. ~+nd ~oni{~ly ~~~ith :il! c~th~~r rrc~!iir~•m~nl~ ~~f a Ic, al n~si:lr•i~t c~t this Stair_ ~ ~ 1 I~UR7711~R C1=R'I II~Y that I ha~:~ nc~ ii~tc~ntion to rcturn la m~~ forn~.•rdomicilr..tnc: f intc!~cl t~ r~main in f ~ sT . Lucz~ ; ~G/~ i 5 ~-UC"!~ - c~~~,~,t,r. ~ F~car.itii;;-{~~ttu:'nrntl~• - - - - ~ - ~ - ~ . ~ . ~ . ~ ~ ~ ~ - - - _ _ ~!-C ~~G c r , _ . _ / ICi~~I~TURi: ~ ~ N N- u n~ , - _ . ..1 ~ ~ . . ' - - - - -S IG:vf,`i'tt - - - - - ~ ...-•e ~s~~t(r'tcx%inc`Y-~uhtic:rih~•~l hcf~~~.• i~~r thi; ~~V' D d:i)~ ~f ~ ' . • A. I 1 -G. ~ S - W , R~ yl(JUL ~'_..._.C_~ ~ ~ _ - - - _"_F~ 1. it;~; d ~ ~ ~ 1,.;,;i~'.t PG?"1' ?:t ~ CI i:(:'JT~' CCU?~"t' ~ : ~ , ~ ~ ` ~ - - . . . ! /..._.f~~~ ~ . ~ t• , c~ ~ . ~ 33 ~-.~.Z ~ ~ ~ ~:.~.e z~~. ~,~.,,.t}- c~~~t1: ~ ~ - ( fu hr r~rru~rd u~ J nJ u:i.•~n.~l IdaJ ~~ilh ('1~•il. l ircwl (7~urt.:~ut1 Jiq~lir:~t~• ~u~h T.r~ /~~o•s:ur) < s ~ R ~ ~ ~23~5 ~ 1~ - _ r s ~ ~ ~ ~T~ r,~a~ . x s ~y d- ~n. ~ ~ 5 ~ c.~. ~ ~ .._~3,..-~... . ~