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HomeMy WebLinkAbout1731 H~~c~~~-~d~¢~r~ l~a~~~~e~ ~c~e~~n~&~~~ . ~ ~ ~ . ~ ~ 314~21 . . . TO Til~ C1.~;ItK Or' TlIE GIRCUIT COU2tT. ~ sT. ~uc ~ e courrrx. ~t.oninn: ~ . This is my dccleratton of nomicilo and Citizcnahip in tRo SU?to oI l~~orid; that I~m tiling tAis d~r in ~ecord~neo. and in contormily with Srction ~.'2.17. ftoridR Statutc~. ~ • . . 1 w~s Iarmcrt A Icgal tc~idcnt oi ~ N~ r. R~ D- 1-~l.E ~ A/ ~S ar~ I . , ICKyI IStatel rrsidcd ~t~_ nA/,,;~ ' Z ~ 7°.E~t~? ? j,~_ . lTowovc~. i ht~vc cb~ngcd my domicik to . t~~t ~nd Nuin~) . ~nd am and h~ve bcen a bona fidc residcnt ot the Slaio of Florida sinee ~Z? f/ y day ot / fa' ~ '~,~~1~ - ss .E-: ~~'.~'A~,~,,~~_ , ~9~ , Rnd I resido at . " {St~t and Number) ,~/n RTN- ~ R,1'-.ST-.l Tir„~,,4 ST. 1.UG 1 E Couatr. Fiorida. - (ae~) . ~ dnd this statcment is to be~ takcn us my decl~ratioa oi citizcnshfp. actuallegal residenee and domicile in the Slutc ot Florida. If fOR TNE PURPOSE OF EHROLLING . IF' i'OR HOHESTE/l0 PURPOSE5~ CHILDR~N iN SCHOOL~ P~EASE STATE PLCIISE CHECK: ~ YHEIR NAMES2 7^i~f.~ 1R.fS A - .c y~~ - TR / 4 - . , ~ ~ ~ ~ ~ ~~.F~ - /C !J ~ - T/4 /.B 4 3~4421 ~ : ~ fLEO At14 flE~:OltD~ ~ i~.li1L1E COUMT1r f~ : ~f ~ T -J~I /S~ 7iHF..~~ .L~~O ROC%n P,?TRA= ~ ~ CLERK 'CUii C4URT • ~g . - ~ apr,~c,. ;EG.itED...~.,_... ` t` 'f ~ . A~a ~ 8 2 ~s PH'75 ` . - - ~ - . ~ ~ fk 3 ~ ~ i. I FUIt7'~II:It CFRTIFY that I will r~gi~lcr al my locai address M I~cn thc rcgistr; tion boo~-.s reopen. and comply with all othcr rcquirc~nents oC a 1cLal residcnl oi l!~is Statc. . I FURTIiC;t CCRTIP~' that l havc no intcnlion ta mturn to my f~rmcr domicitc. a~d 1 inicnd to remain in a ,v0 R TFt J~o RT- .4 T- ~ ~c+t L~ a_ Sr . L u c~ ~ C~uRiy. Ic+~r) . ; i F1u; ida. pcrmancnt i~ . ' ~ . . ` ' t - • :'~.~~t;`'~ ~ J • . i ' •/i. , ' ~ ~ _ U 'g~-.~;~;:~cC • - ~ ~ . t:t ~ { - _ ~ ry'., _ „ - ' ~ ~ ~ ' , ? # . . - ~ lf An ~ /1.c dl ~ • ~ : •c,~ • f - ~ ~ h i ~~i. . . ~ = . _ ~ 1 ~ /s ~ ~ O'U v ~ .....~r„r~' . (N~mo) , ~ a~,[@~~ , ~ ~ '~~~~/ti,,( ~ ~ ~ • tr ~ 'c 'c J` ~ ~ ~ ~ IAdJrrat? y~'~~ ;>~corn la nuJ subc~rilx~d b~•(w o mo 1 his . dny o! m ' ~ ~ 7? ~ ~ ~ .c 1 n.». ~9_~-_~ ~ ' ~ ~ ~~rrR _1'n I 7(2AS ~ ~ ! Gt..FRK OF C IRr.UI T COUr~T :~T. LU~. L' COUhITY, FL.OR ~ r~A ~ ! , . ; flY: ' • ; ~ ~ ~-t-~. ~ ~ r. u r v ~t ~ f , ~ ~ 1 . ~ aoox 24~ PACf ~ 733~ ' ~ ~ at.r~ t.~~.,~ r~ z ~ - ~.e,~.... ~ _ ~ ~ _ - - - = . . .~..~o.,.~d,.~..Y'.3,~ - "~--v° . . . _ y . ° .~F,;.... - - ~ - ~ ~ . . ~ ~ . , ~ -