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HomeMy WebLinkAbout0862 . ~ , • ,r~R ` ~ / r vv~ :i~~c:! ~~.~s~ ~.'i i~:.~~5 ~I~~i~ii~ t.~~^~~i-~ ~~~it:.:~•`~;.::E el~.~ . rc, ~ri~~~: si;~~i i. nnu c~c~ur. i~~ ~r,~~ ns~i s~c~tz. 298'798 s~r. i.t~~TC c•u~,~-i~~~. i~t.c~izii~n: "l~l~is i. m~~ ~Irrl;u:~tic~n «f I)omicil~ :in~l ('itiz~•nshi~~ in thr St;it~• ul' I~Io~ida lhat I am filin~; ihis clay in - ~ ~ :~rcur.lancr, an~l in ~~,i~t~urmity ~vith Srcliun ~"'.17, l~lori~la Statutcs. ~ • S ~ / r. - <<nd t 1 ~~~a~ fonn~ rl~' Ire;:~l resiil~ ~at of ° • ~ ~ty~-- - - - - • - (5t~~~j rr.i~l~•~l at - D ~ k / ? . 3 . - a - ~ • Hc~~vr~~cr, 1 havz chan~;~ d m~~ domirilr to ~ (SUrcl and Kun~IKr) :~~i~t am anci h.~~•c hr~n a hona liclr r~sid~nt of thr St.itc of l~iorida sinc~ daY af ~ ~ ~i(1~Zu.~-i.~%~ , 1 ) _ an~l I resi~lc at ~ ~ a' a C'L" ~ ~'e • - - - - - ~ - - - - - 1- (Strect •rnJ Numb~r) _ . a St . I.uc ie County, l=)orida, ~ t ~ ~i-`e~ ~ _ 4 - - - - - - - - (('U j ) ~ j ::n~l tl~is stat~~n~,nl i~ to h~: t~ikcn as m)~ d~clarati~n of citir~~~~sl~ir, actual lrgal resid~nr.~ an~l c1c,:i~icilc in thc Staic ~ ~~t~ l~loritla. (lo.rr. hrrr ~u>• p.rtincnt fails, w.l~ ~c ~.J~• ~~f pruprrly ur husiuc~s. ur rcliuyui~hmcnt ~~f rmpl~~y~nrnl at formrr du~aicilc, ~cm~~tial uf famil>~ nr~v d~.mic~lr. put~h:n< <~f linmc. rtc.) „ • . SCI{n01. H03~~STCAD F.~tiP•iPTrG::: I I I.:..~;d7;.G Ct~Tl_G.tl.:' I . ~ If e~:ter~iig chilcireti ir. school, please 1 i st L~~eir na:zes : ~ _ ~ D X ~3-v~.,n 2 ~ c` ~ ~ c`-~c ~ . _ . . ~G ~ O J t S ~ cY~ S~.r`~ U d ~ /,S ~ i' s ~'-li1C ~.t~n~~ t - - G(~" ~ v / 1..! ~ . ~~h ~ ~ ! FI~EO a~t+ ~ECOalEO ~ ' ST_ LUC~E COUMTY FLA. ~ ROG"cF PC?~TAAS ~ . . ~ t CtERIt Ct~tCU1T COURT ~ ~ RECC~rD V_Rt=iED • } ~ ,lu~ 8 I o9 PH'75 ~ ~ ~ ° 2~8'798 ~ ~ . 1 l~~!K~I~tli=.tz e~t~.rz~l'Ir-Y that 1 a-ill rc~~ist~r at m~- loral a~tdres~ ~vhrn thr rcgisiration books reo~~cn. :~nd ~ ~t~m;,ly with all uth~s rrc;~~ircmrnt~ c?f a Ic~al resiJcnt c~f this Statc. ; , ~ 1 I~UR~'1lI~It CI:1:111=Y tl~at I l~,F~~c nc~ intrntic~n to rcti~r~~ to m~~ formcr damirilc, anct l intcnd to rr~:iain i~i ~ ~ ~ ' ST ~ Lt.~ZL ~ - ~ ~ ' < < _ - - - _ _ - • - - - Count y, s - - ~ I~lori~la. {~~~rmanr~~tly. 1c~t, ~ ~ ~__~~4~~~ T/~,~~ - ~ ~ 1.Vt:~1~ `:7 =~Qj~Y • a y~ : ~ : , ,,.G , ~ ` •s; ••.~Y.~ . i ~ : , , _ . ~ • _ : :f_~r~_5,~ ---SIGFrl,'IURI; _ _ ~ : ~ . Cn,.•~i~'' '.,f. , G~~~, M ~ ~ S-~~ t(?=~11(~ 1UV.''~'~1~R~c~hcf~m nir this cSay o~ ~ . . q ~ ~s- ~ - . n.». ~ ~ _ ~ - - ~ai i:•f- c~r~ss ~ R~ i~2AS', i.I;l:;: J:ClI1i' (:ni;1:T I'J or. !_c!~ ~ ~ _ . . _ ~ ~ ~y ~~~tty Cl er'.c . ~ (70 ?~c r~rcutrd in ' ~ :ui~~ ~r.i~•i:,,l Idr.l ~~~14 ('Irr1. l'~n ud ('.~url. and Jopliietc ~ailh Ta[ • ~.~v) 0 R ~ . ao~235 ~ 86i ~ ~ _ ~ ~ - _ _ _ - -