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HomeMy WebLinkAbout1788 De~t~ra~~~,~t Q# ~~:~~~r~~~ a~~~4 Ci~~~c;~,~hi~ ~ ~ ~ , . , ~ru ~rjii: s~ n~ri: nnu c~c~uh~rY ~~,~x n~si ssuit. ~ 299538 ~ ST. LUC1E - ('(~UN'1`ti', I~LORIUA: ~ "fhis is my ~Icclaralic~n c~t~ l~c~m~cil~• a!ul ('itizrn:hi~~ in thc Statc af I~lorida that I am tilin~; this day in accui~lancc. ,uu1 iii cr~~ifurmity ~vith Sc:tic~~~ 2'?.17, Flori~la Statutcs. - !C~-~l U /c~l~ / l° I w.,~ furntcrly a I~~~al r4tii~icnt of _ (.y _ _ , . - and 1 (c•~~) ) - (s~atr) rrsi~l;d at llo~ti~cv~r. 1 havc changed iny dun?icilc to (Slfeal and Nu~nbrr) ,~nd am ancl havc bcrn a l~c~na fi~lr resicirnt of thc Statc of 1~lorida since day of ~e - - - . 19 7~, and 1 r.:sid~• at 9~~ ~_~C~1a?f~~/`~~~_ /~V~---- • _ (Sttrct and N~mbcr) __~(°/`e _ St . Lttcie_- - . r~i~nty, I~lori~la, (c•~~>~ - - - ,:ii~l lhis stalcmrnt is to b~: takcn as my d~rlaratiun a!~ citizcn~hi~~, actual Irgal residencc and don~icilr. in thc Statc c~f f~lorida. (Inccr: hcic any prrtin.nt f.~cts, wch a~ ~.ilr uf prnpcrty or Aucinaci. ur rclinyuuhmrn! ~if cmpluymcnt at formrr dumicilr, trinocal uf f~tnily t~. nr~~• du~uicila. purcha~c o( homc. ctc.) - rc:;T.~;G CHIl.D ;L,,T r~ sc~~oo~.: t-~or~:sr~An ~:xLr+.~!_ ro~:: L_~ If enteti.ng cllildren in sc}iool, ~ ple~se 1 i.st l-heir nanes : . ~o ~+c~i.:~ ~1 c~~v~°_ ~~~i° ~1 e~v 5 - t ~ ~ ; s~.~~ ; ~ s !l06c'R Ppr~ RECO~RO 1?fRt ~ ~ .#w 11 2 aM ~'l~ 'r 299s38 ~ ~ s Ef i t r ~ 1 FUR7~IlF:R CI:R'FIPY that 1 will n~•i,tcr .~t my loral address ~vhen thc rrgistration baoks reopen, and cum~~ly with all olh~r r~y!~inmrnts a1 a Ic_~al resiclrnt of this Statr. ~ 1 F=URTHI:R ('I~.fZTIl=l' thal 1 ha?~.~ nc~ intrntion tc~ return to ni ~ fonncr domicilc, and 1 intrnd to rcmain in ~ ~ ~ ~ ' Si. LUCIE ~ -~=-~-L~ /'C--e-- - - - - . - - - - Co~:~~c,~, ~ I~lori~la, prrn~anrntly. cc-~~•~~ r ~ s ' ~ - - - ~ G r~li ~ - - - ; ,~.,+,~....,J,- S IGtv~,~rUR~-- - - - - - ~ ~:r~: ~ _ J~;.a;, ~.a ~ Sw n;~ii8li~~s~~6s~i 1~rfc~rr mr ~ cla~~ of - •~~R- ~~yj 4 ' i Sy~j'~i ;3 ? .,i.=~-' ~ ~ ~ / ~aGv c~ e _ _ . ~1.1~. 19_ / 9_3 ~ ~ t ~ t' ; : _ .--`r" , u-~ i ~_i:~; ~ c.c re s ~ ~e ~ ~ : ~ : CLI:1:' i :III'r COU1:T ~~r/~° ! orid~~ ~ ~ .,'l?' .iy •,~p ` f .F • ~kr ~ . ~ I~}~~•'', ~ ~ D^_Pl3L'~ Cl erk a ~ ~ s (Tu bc i•~ulrJ in e~n~.hr:~tc :md nnFinrl fJrd ~cilh CIrrA ~~il ('~~u~l. anJ duphi•:~Ic ~~ilh "f:i~ A~k•~~or) ~ 6ee~ ~35 ~ 1?87 ~ . ~ . ~ ~ - ~ s,_ _d _ - = _.Y: