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HomeMy WebLinkAbout1908 ~ ~~c~~~~a~ic;4~r l~~~~~~ci~~ Ci~E~~~3~s~~~;~ ; . . . ~rc~ ~riii~ s~rn~i i: nc~u c~uu;v~~~~~ nx n~~i ssu~t. 299623 g S'I'. 1.UC~,r COUN~fY. I~L.Ulttl)A: '1'hi. is m~~ cl~cl;iralic~n uf 1)c?mirilc anil ( itixrn,hip iu ihc Stat~~ c~f 1•lorida that 1 am filin= this ~lay in arc~~nianrc, an~l in c~unf~~rmity ~vith Srctiun "'~~'.17, t~lori~la Statutrs. 1 H~as forn~rrly Ir~al rrsi~trnt uf ---~_~lVT~O_~'~.~~Y__~ .ind I (c~~Y~ (sw~~~ rc~i~l~d a1 _~.~~_S• . llo~vr~~rr. 1 hav~ rJ~angccl my domirilc to (Strccl and Numtxr) an~l .un .~nd hav~ hrrn a bona li~1c r~sidrnt of thc Statc c~f I~lorida sinc~ _~.~!lk-~-_ day of ~!~~~/_t/~~~ , 19 and 1 rrsid~ at _ ~ --y~•~~ ~2~~~--- (Strect aud Numlxt) -~Q~-~T._~.~o!!~_. -fL1~, 3s~s~. !_st~_I.ucie---------- Cow~ty,ri~~~~~~~, ~c•~„~~ ::n~i thiti statcm~ ~it is to br takrn as m~' cl~rl;iraUo» of citiirnshi~~, aclu~i lrral r.•~idcncc and dc»iiicil~ iii tl~e Statc ~,f~ l~lorida. (Insrt: hr~e ~ny ~•r~hncn~ fact~. tiuch as ti.dr uf p~~q,crty or Au,iucc~. or trlinyui~limrnt of ~mploymcnl al futmct dumicil~, rrmoval uf family lu ttcw d.~~nirili. parrh~sr u( homc, ~~IcJ 1:"r~~RI^,G CEiILL`?2E:: I~~ ~C~i00L: HO1•:~S'CT~I~U r~~f:~TTTO`:: ~ If enterir.g chi_lc?ren i.1 scllool, ~ ple~se lisL lh~ir nar~es: - . 29~623 f lED 1?MD ilEOp~p~~, - a~.lUC1E COUNTY flA. ROCER p01TRAS CIERK C1~CUlT C~UI1T RECORD YERIFIED.~.....~.• 10 IZ s4 PM'T5~- ~ , W • I ~ I{ 1 ~e i ~ ~ 1 FUK"I~lll~.lt C[:RTIrY that 1~vill rr,~istrr at my local :iJclress ~~~hrn thc rrristration hooks rcopen, and ~c~mply with all Mhcr rec~!iircmcnts c~f a Ic; al r~sidcnt of this Stat~. 1 f=URTli1:K CEKTIFI' that 1 h.i~~~ no intr:~tion to rcturn to my forni~r domicilc, and 1 int~nd to rrntain in ~ ST. LUCZL --n0_~~T.-~.uC/~"---- county, ~ I~lc~rida, rr,~p)an~i~lly. ~c"`> ~ t~_ ~ . : . ~ - - . , tvli'PUR~~ ~ " ~ ~ " Robert H.~CHOMBERT ~ ~ ~ = _ - , - - - - - - --S IGIvA7'Uit~- ~ . _ ~ S~vo~n~tq::~~cl~ss jl~~:rihed h~ forr me thi> ~C- d~ay of _ _ ? ~sz~t~.-t-~ - - - . A.I). i~)-- - - ~ , ~.ai ~.rj~;-71Tdress ~ R(1Ci~k~i'itl'~'RAS. .Ij:Ri~ C7 ~CL1iT Cntli<T } • ~ : l r. c . ~ ~ n n, . ~ E. 1. Ry~ ~ T; t } .:1. r.~ , ~ ~ ('Io he e~ri ct• '~n dupl~: aIc :~r.J uruvn f~lral ~~ilt~ llrrk ('itcud ('uurl. :~~~J i:~•;•1!~'alr ~~•iib la~ Asr.rswr) - ~ 0 R •j~ ~ ~ BDOIC s.~+v ~ _ r~ ~ . . - ~ k