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HomeMy WebLinkAbout1713 ~ • ~ ~ . ~ i~~:~;.~~a~i~~~~ o~ ~~?~~~«~.~ct>> ~~~4 ~:~~.-~~~~t~:~~;~ ~ic~ ~ri~i: s~rn~~~~ n~u c~c~ur.~i~~~ ~~-na n~s~ ~sc~~:, . 299469 s'r. tucic-- - _ c•c~uti~~r~~. i~~~~tiu.~: ~ "Thi~ is my ~k~cl:~r:~tiui~ of 1)~~mirilr aiid Citii~~nshi~i it~ th~: Stalr uf Flc,i~.',a U~al 1 am filinb lhis day in .~rcc~r~la~~cc. ,uui in cunl~~~rn~ity w•itl~ S.:riic?» ",.17, i~lorid.+ Stalul~s. I was fc~rnurly a le~;al rc,idrnl of ---~~k!e a«d 1 - - (Cilpl (State) rrsi~litl nt ! ° llowc~~rr, I h:ive chan~;ccl my domicilc to - - - -1- - - - ~--r z~.~ . (tilrrct and ~iumi.ci~ an~l an~ a?:d ha~~c hcrn a h~~iza fidc rc~i~lrnt of thc Statc of rloricta since s~~";~~~-- day ot' - - ~ - , 19_7~_ . an~l ! resi~ic at - -~rJ / G>~ ~.o_ !~t ~--_~r T ~ ~(Sttcct and Numbcr) ~ar~ ~_~c_ _ _ st. i.u~~~ - - - p - - cou»ty, i~~ori~~~,, a~~~~ ? .~n~l tius statcment is to takcn as my dcrlara~ion of ritir~i~~hif~, actu~il l:tal nsidcncc and .'.amicilc in thc Stat.~ c~! I~lori~l~~. Qnx•r: hrrr ~u~• ~•.rtinrnt facts, suct. ~:+:c ~,f prun.r~y o~ bu~~nr~+, or n•linyui~hntent of rmployment at furmrr Jomic~lr, rrn~u~:~l uf (amily to ~ir~~ dum~c~'.r. psi.~h:.• r uf ho~ ;c. ett'_) ~-.~-?•~~L~7~~c c~t=~_~zr-< T?1 sc;,~~;: : ~ t~o~~s~~~ r~.r;rr~c~~:: ~ 2f E::zteri citi_? ~;.e:~ itZ s~.i~o+)1 s;- ' ~l.e~se l ~.s~, their_ i~ar::es : _GZnd~~ Lav i~oL~`~__ - _ _ ~ - ;..,---~,.-,c-....~--r-..~ . - f1l,EO ANp RfCOR E ST. IUCIE C~UNTY ~L~ ROCER POItRAS t,~ CLERK Cl~CUIT COURT ~ RECORJ YER~FlEOr.~..w..,. ~ . .~w IJ 9 v9 AM'75 i ; - ` ~9469 E ~ ~ ~ ; a - i 1 l~li}hT11ER CI:KTI{=1' that 1~~~ill ir;~istr;- at my loi:~l a~ldr~ss ~~~hrn thc rcgistration t:ooks rcoEicn, and ~ ro~n~~ly ~vit1~ .iII Ol~1Cf f~(~!111"~lii~ll!c (1(; I:;~al rr~idrnt ~~i ;his Statc. ~ ! FURTHI:K CI;RTI[~Y tir.:t 1 ha~•c no i~~tr:~tiun to r~~tur~~ to my form~r d~mi~ilc, an~f 1 inirnd to r~main in ; 7~ s~. Lu~z~ 3 ~ :~.;:__.~~"_[__~1 '~1_"-c - - cbu~:t~. - J ~ ~ l~i~riclar~irt3i~an.~:fltly. ~c~~Y~ ~ ~i' . y~,~ ~ //f ~f 3 i "/I.(/ ~ • ^V _ " ' • ~ - ` ' . . • ~ - JIGIk!~.;~T^i:. ~ , . . . , k . v. - - SIGi~t,'i'UR~; . ~ S~~~ci~ii tc~ :~ncl suhs~ril~r~l i,rfoj~r in; ~liis cla)~ c~f R `r ~ ~ - ~ - ~t,c.c,c a..+~~ - - - _ . i1. 1') ~ ~ j~~~ ~ l°~ / /'j Q ~r '~'i l l l c c re 5~ ~ ._ll(1~;1:Y i'~~7'~ it!li, CI.Ts'kK CTrtC1l1"1~C'i)~?:~'?' 3~~~ . „ l~ 1. o ~ i_dti ~ ~ ~ ll}? .~-2.. aL ~,t'.~ I)^ lr ~ t- C 1 c-: rl; _ ~ ~ ~ ~ ~ (Tn 1•r :•~rcutrJ in dupiii~at~ a~~d ~.n••~n.~l fdcd ntlh t'I•-rk tbruil t'~~ur1.:~nJ Juplicale ~vith Tyx :1_•.cscnr) Y ~ ~~235 ~1712 ~ ~ _ _ - - _ ~ ~ _ . _