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HomeMy WebLinkAbout0620 [~~G~ara$i~n ~f ~~mici~r~ ~nd Citi~~n~hip ~ . ~ • ~ 313620 . , . . ~ TO T1ik: CL~;RK Qr' THE CIRCUIT COURT~ ST ~„_,L UC 1 E: CpUNTy. FI,pIt1DA: . Thls b my dcct~ration o[ nomiclle and Citiunsl~ip tn the Stato oI Florida that I an~ tiliaa this day in ~ccasdanco. and in , conformity with Scction 2'.2.17, Florida Statutea. ' ~ I ww [ormc~ ~ lcgal rraidcnt of ~ ~ N C / ~ ~ ~ ~ ~ ~ ~ I ~ . tC~~? iSt.te1 nsstdcd ~t - ~ J~~ 1- ~1~ 1~1 ~ ~iowaver. I havc chsngcd my domicilc to ' . ~~t~t ~n:n~l ~ ~ ~nd ~m Rnd h~vc bcan a bona rde reaident ot the Ststo o! Fbrida slece J/~ r (~S' day ot . '~v Y 19 and I residc ~t 7 a~S C/ T k' u~ ' . ~ (3treet wd Numbar) ! ~ j L~' ' S T. L UG 1 E co~ncr. Fiorida, . tcs~s) ~ad lbis statcmcnl is to be teken as my declaratioa of citizcnship. actual Iegal residence aud domicik in the State of Florida. - IF FOR THE PURPOSE Of EFlROLLING IF fOR HONESTEAO PURPOSES~_ C1~iLDREN IN SCHOOI~ P~~ASE STA7E PLEASE CNECK2 ~ ~ THEIR N/1MES: , ~ w A-~'~ II. ~ i c. ~E~-~-- ~ _ ~ • t ~ ~ ~ ~ ,L . ~ / , c-~t= L- L ~ %1,~~ f~• ~T~~L~L . ~ ~~r~~-~ ~L-i lg. ..5~ i ~ Kc~ ` _ ; , ~ N 1~t ~ l ~ K1; l_ M7~ ?SrT; cKr~ ~s I FURT2IER CE1iTIFY lhai J wi!! reb?i.~tcr al my Ioca1 address w)~cn t~c rcgistrnlion books rcoj?cn, and comply with all ~ olher requirements of a lcbal residenl of this State. , ~ 'F- I FURTliE:t CERTIFl' tkzt 1 h3ve no intention to rctun~ to my tormcr domicile. and I inlend to remain in _ ' F' i /~J~~c , ST, LUC 1[ .Caunt _ (C~~rl . ~ . y~ ~ Florida. permanen~i; . _ ~ ` ~~~EIDlCiE C6UM7Y ~ ~EocEa Pa~sa~?s ~ c ~~Ep~ ~~~cu~T aouRt _ ~ QECQa~ VE~+lFI~?...~----- ~ ~ ~ ~Z 3 p~l'~5 ~ ~ ~ ~ : : ~ ~ ~ . • . i ~~_~.j~~y~,. .t . - g - , . _ ' , _ ~ ~ - ~ - ~ _ 31~+s~o , ~~t~ ~ . . ~ - ;,..i; - w re~ ^ ~ - ~•f~' ~ ~ IN.rus)~ ~ - ~ 7G 6' c; i K W~s ~re Y, ,j~ ~'v_~ r ; (AdJres~) Sworn lo nr ~ hecril.rd heJoro ?nc Ihis dny of _ !'~'1 . t`l ~Y'C L= . /~L~ . ~•3T~d . ! -r ; _ , n.n. i~ 7~5~ ~ : R~c~fi PnI7R/~ ~GLFRI: 4r c~RCUi T coUzT V . ST. LUC I' COUtJTY, F t.OR 1 UA ~ ~ 9Y • a_ <_..,~~.L ~~`-r.~Lc~` . ` ; ~ ~rutY ~e~~?c • r. i o+ S ~ i ~ ' . - sooK ~42 PACE 619 , ~ . : _ _ . ~a~ ~ ~ ~ ~K,,~ . : ~ • • _ ~ =