The URL can be used to link to this page

Home My WebLink About1729 B~~c@~e•~u~on ~~n l~a~cr~~~~ Cc•~~~~:n~~i~ . ~ • ~ ~ ~ . ' ~ . ~ 314419 ~ TO TIIE: CL~:IiK Ob`Tt16 CiRCUiT COUIiT. ST,, I.UC! E coviv~r~r. FLOninn: , . 7`his b tuy dcclarat~an o~ Qomicilo ~nd Citizcnahip in tho Stato ot b'lorid~ liu?t 1 am tiling thts d~y ie ~ccord~neo, and in , conlormity with Srctio~ r'2.17. Florida Stelutcs. ; . ~ ' I w~?s farm~rl ~ Icg+?1 residc~t ot - - - - - ~ Uo~ c. , i, CCcr ~ ~ , _ ~ ~ • and I • - I~y) tSt~tei residcd ~t .~S~ ..~p • - Iiowovcr. I havo eh~ngcd my domicile to _ (StreK ~nd NumAe~l • ~ nd ~m u?d havo bcca ~ lwn~ tidc r~aldrnl oi thc Stato oi Florids since daY ot , ~ L~~~~ . ]91~ , snd 1 resido at 1~~ ~ • d«ro~~ ~ . . ~ Zsero.e u,a N~mbed ~ ST. lUG ! E County. Florids, (tait~l ~nd this statcment is to be teken us my decter~tioa of citizc~ship. attual kgal residcnee and domicile in tho St~to ot Florids. ~ If fOR 7NE PURPOSE OP ENROLIING . If fOR HOHESYE/lQ PURPOSES~ CNIIOREN IN SCHOOL~ PLEASE ST/lYE PI.ERSC CHEGK: ~ ' T11E IR HAMES2 ~ v~~~-41~+.~ Q:P~.,,~ .~d}~, . , ^ . P~,t ' l`~ 1~1lL3~~'~~i.:v ~JY~tc:C~e~_ „o . ` , • F~LED RNp NEC - ST LUCt~ COUNTY~FEO - G~ K C+:aCU~tA~ ~R " _ _ RFr,DP,G yr „F~Eti ; ~ . . _ a(~G B , r . . . . z Z~ PH r$ : ~ _ ~ . . ~ ~ ' r I FURTIIER CFRTIFY that 1~v;l! regi~tcr at my local address kl~cn lhe reristr,,tion boo}:s rcopen, and comply ~vith all o:l~cr reqviremcnts ot a lc~;al residcnl ot t~~is Statc. ' , I FUItT11E;i CE TIi'Y that I havc no intrntion ta rcturn lo my (armcr domicilc. and I intcnd to rcmain in :s ' ~1 ~t..~ $T ~ L UC 1 E . G?un~y. ~ (c~~r1 . ~ i Florida. pcrmanenti~ . ; ` . ` ` t ~^f~~' • • • . . ~1 , j, . ~ - • . : . • . ; _ • • . ? '~'Q.C,oF'f y~, ,J~/lyxs.o(f~ 1 ` . 1 'f~;• ~ , - , . C ~N~mo) 7 i . ~ { ~f ~ IAddres~) : Su•orn to n~,J aerl,s~ril,c.d br~uio ~no thiy _,.(J d~y ot ~ ~ ,i ~'C"~,c A.1), )9_7 S . ~ ~ ~ ~~n~a~=~?_ ('n l T(2A ; GI.FRiC OF C.1(:f.U1 T COU2T - . __w - . ~ ST. LUG 1 L' COUt•!'fY, f l.OR ~.OA ~ n Y ; _M1~~-~-1Q-~ -~o-~c ~ , '....~"`""1_~r. u T ir c i~ ic , ' 'i . 800K PAGE 7~~, E,,,,,, y, ~ R z4z 1 . ~ ~ ~c.z.: :.c~..-- ,y-:~•. .a . , ~ ~-~r~,q+r, ~~r-r . . . ~ ° ~ ..K _ ~ _ - . . . ~ . . _ . . . . ~ 10. _ t :r ~~.:s .~Z;~~N. - ~ ~:~z- ~ ^r - a . . ~ _ _ . .