Loading...
HomeMy WebLinkAbout0665 : ; ~:c ~':?~~"d~G:'-:; ~ ~~~y~~~L~~?~ ic, ~i~iii: ti~~ n~ti~i: nhi~ c~v~j;~~r~~ ~i~~~~ n~si:ss<~ii, 298640 s'1'. Z.UC1t:-- c~c~u~~i~~~, i~~.c,~tit~n: 'I~lii. is ni~~ ~tr~l::ratiur ui' Ik~micil~• an~l ('itizciichi~~ in thc Statr ut~ l~lc~rid:~ lhat 1 am lilin~ this ~lay iii ar:onl.u~rr, ancl ii~ runfc~imit~~ ~vith Siction "'~?.17, t~loricla St:~tutcx. 1 ~~~ati I~ornicrly a I.;~al rctiidrnt c~f .~S_~''~'! _~__~~N6 ~c~?plY~ - - - , ~G°!''~1!1 and 1 ~ . ~ (CicY) ~ (S tc)- - irsi~iccl at _~~/_'!Sd Yj _~rVQI c.~s /_Q_~-~-- . Ho~aevcr, 1 havc chanbr~l n~y domirilc to (Slrrrt and Numinr) :uut am anJ ha~~r hrcn .i bc~na iiclc rcsi~lcnt of thr St:itr of I~lorida ~inrc day of , . , ~ 7 ~a?~~wo a d~ ~hi ?C -_/Q?1ql~L~C - • 1~) 7 .u~d I rc•~dc at S~- - ~ (Slrrrt ~nd NumFxr) /er'G~.- . St. Lticie County,t'IOfl(I:I, Ft ~ _ - - _ ~c•~~~~ ;:i~c! ti~i.•tatcm~nt is lo br t:ikcn ,.ti m~~ d.rlar:~tion c~f citircnsliiE,, actual Ir;;al rrcidrnec and domicil~ ii~ thc Statc ~;f l~luri~la. (lusrr. hen• {~~•ru~rul (aclc, ~uch a. »I~ uf ptupcrty ot hutiini~sc, ur t.linqui~Lmcnt of cmplcn mrnt at furmrr d~•mirile, ~rRU~~a~ uf (~mih' In uc~v dutniaili. ~nucha~~ uf humr. ~ti•.) , "T .'t ~ "G C~;].LD~:~ I': SC~t00L: HOi~•tE:STL•'AD E\E; IP'~'ZO'i : ~ ~ . ~ L . _ ~ L%~ If e»teriiig chilciren in school, ~ p~.e~se 1 ist thezr i~~-~rr~es : . ~ ~~.,1/y /A~tl /~/~'c1.~ ~ ~ ~f ~C.~ ~S~/~~'TIl H~c/~~ i - f,tED awL ~L Lf~aE CflIJ~t~Y~fu, ~tOCE~. ~~j1~ i' CtFi!K CIr.Cl~1S CQ~t ~ ~ ' pErrR.? yr~' .e~ l~ ; : ~ ; ~ ~ 1 1124 ~H 'TS ~ ~ ; ~ ~ _ ~ 2~8s4o ~ , ~ : I t~Uh~l~llt:lt CI•:IZTIFY [hat I n~ill rc~~i.tcr at tny lo~:il adclres; ~?~l~ri: thr rcgistration books rcopcn. and ~ cumply ~~~itli all oth~r r~c~!~ircmc•nts ot I~,~al r~sidrnt c~l iliis Stal:•_ z i 1 rURTItf:R CI•.It"1~U=~' th-!t 1 Iz:~~•r nu intc~iti~m to mturn to my fonnrr dc~micile, and 1 intcnd to rcmain in ' ~ _ ST. LL'CI~ " - Counl)'. ~ -~f.- ~°i~r~e - - _ - ~ 1=iori~ia, {~rtlrfian~nf(y. ~c ~ . U' - - ---SI ~A : - ~ • ' ~ . c++ • ~ ' ~ ' ' / r'~ ' ~ , ~ ' m~ Yi N /y e c ! t ~ ' c. , G : - - L•~. - ' ~F'~ ~ ~ : • - S IGi~Ii~'l'UitE ~t . • ' ~ ~•q ~ ' ~ _ ~ ~ ; ' ~ ' SK~i~J~Y~q~ S[tl~scp~~cf~,n• inr tiiiti 7_. da~~ ~~f ' V , ~ C' . . ~ _ ' ~"'~~~aldK~~ ~ - - - - - , n. n. ~ ~ _ ~ .r`r . S / Gas~~n vo~ ,~?-r V~ ~ i?'~n~;~cTdress I~~~1,R P01'~'R S, C;LI•;: CIiZCII~i_ COU~t"1' ~~~,.G[~ I'~or~da ~ ~ ~ ~ ~ Dep~_~ty Cl ~~~~t: ~ y ~ . ~ ' Icd i: i~ ~nd nr~ni.~l f~l~•el ~~ith l'trrl.l'isruil (•nntl. ~nd duph~•a~e ~viU~ 7rz A~t~[.xri) r r~~ . 4 f+ ' i ~ 4:~< 235 664 ~ - - ~ ~ ~ _ _ 1 _ =