HomeMy WebLinkAbout1681 ~~~~~r~~ia~r~ a~o I~ar~~~~le a~~ C~~a~~n~&~i~ .
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TO Tllk: C1.~:RK Ob' TlIE C1RCUiT COU1tT. ~
ST . L UC 1 E CpUNTY. FLORIOA: , .
Th~s b my dccl~ralion ot noa~icile and Citlzoe~hip in tho StAto ot Ftorid~ th~?t 1 ~m fiting this day in ~ecord~neo. in ,
confortnfty wit,A Srction 2`r2.17, Flotid~ St~tutcs. ; '
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I w~s tacmcrl a Icg~1 rcaidcnt ot ~"e~'~~~ ~ ~ - ~ I
tay~ Istatel
residcd ~?t~.~~ r~~ - - Z~owovcr. I havo eh~n~cd my domieilc to
IStreet and Nnm~l ~ •
~nd am ~nd have bccn a bona Iidc rc~idcM o[ the Sta?to of Florida since /"1iS~ day of
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ti` li ~ . ~9~ and I resido at I /'D ~ v ~ .
- ~ , ' (Sbwt snd Numtrerl
-f c' ST. LUG 1 E Couaty. Florids,
t~71 .
And this stalement is to be teken us mr declaration oi citizenship. actual kgal residence aad domicile in the Stat~ ot Florida.
If POR TIiE PURPOSE OP ENROI.IING . IP fOR HOMES?EAD PURPOSES~
CH i LOREN 1 N SCHOOI~ P~EIISE STATE PLEJISE CNECK: ~
THEIR NANES: ~ ~
e F, 1~ w`~"o ~ - 3143~q~? '
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c ST. lUC E C UMTr fLA
~'~J ~tC ~17 ~ . ROC=f. =JtiRAS
E r~l j/ ~ °•cCCR~ vfRi~ IEfl COURt
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- - ' AtfG 8 ~Q pp ~ ~7
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I FUIl7')ICR CF.RTJFY lhat T will regi~lcr at my Iceal address wl~en thc rcgistralion books rcopcn. and comply ~vith all
othcr rc quiremenls oi a lc~al residcnt oi tl~is Stale.
' • TIT'~' tl~at I I~avc no intcntion ta relurn to my tarmcr domicilc. and I intcnd to rcmxin in
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