HomeMy WebLinkAbout1923 ~~~~~r~~~~~ ~f ~~rni~~0~ ar~d C~~~~~n~t~ip .
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TO TIIF CLERK OF' TlIE CIRCUIT COUIST, 3~~2
ST. Ll1G 1 E CpUIVTy, FLORIDA: ~4
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This i~ my declaration of Domieilc a~d Cittaenship in the Stale o[ Florida that I am tiling tAis day in accordence. and in .
c~n(ormity v?ith Section 2~.1T~ Florida Statutes. `
I was tormcrly a Icgal residcot ot _L_l~.~„~ iL' ~ ..s/~~f~ Gc f0 /c and I
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resided at ~ S f r~/~~ , -s1~/ F~'~- . However. I have changed my domicile to
lSireet ~nd NumOsr3 ~
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and am and h~ve becn a bona fidc residcnt o( the State of Florida since v ~ ~ day of
I ~ e~ . ]9 '1 S and I reside at 3 ~ ~'_%d ~ ~ ~ ~ .S ~ ~ ~ ~ .
, (Street and NumOerl
~D ~ ~ i P - . ~j/~~ ~ ST . LUC I E County. ~lorida.
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t~71- ~ _
nnd this statement is to be taken as my declaration of citizenship. actual legal residence and domicile in the Slate of Florida.
IF E'OR THE PURPOSE OF ENROILING . IF FO_R NOMESTEAO PURPOSE.S~
CHILOREN IN SCHOOI~' PLEASE ST~ITE PLEASE CHECK; ~
THEtR NAMES: -
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gT• t~~~r COUNTT F~A.
' ROGcR ?O~t~AS
CLERK Ct ;CU~T CpURT ~ ~
RECORn y: f;'IEJ~ ~
_ A~~ 11 I t 48 AH'75 i
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I FURTIIER CEItTIFY that 1 K•ill re~isLer at my local address when lhe re~,~st.ration Loo}:s reopen, and comply with all ¢
othrc requirements o[ a t?E;at residcnt of t!iis Siate. - .
I Fl)RTI)E:t CI: T1FY that 1 havc no ic~t nt'c+n o rctur:~ tu my f~~rmer domicilc, and I intcnd t~~ r~rnain i:z ;
' - ~ ST'--l_ UC 1 E County, `
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