HomeMy WebLinkAbout1899 ~~~t~r~~ia~~~ ~a I~a~~~~l~ ~~a~ C~~nx~:n~~~o~ :
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TO Tlit: C1.ERK OF TIIE CIRCUIT COUtiT~ ~ I
_ ST~ Ll1C 1 E courrMr. ~.on~nn: , .
Tl+is ts a~y dccl~rAtion of Aon~icila ~nd Cittz~n~hip in tho Stato ot Florid~ i1u?t 1 am tiling this day in ~ecordanco. and in , .
contormtty wItb S~~ction 2"2.17. Florid~ Statutcy. ; • •
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1 w~s tormorl IegRl restdcnt ot T ' _ -
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r~sidcd ~t l 9 - Howovcr. I lu?vic eh~n~cd my domicilc to
. {Strs~t and Nuiub~t) •
and am ~nd h~ve bcea a bona tidc rc~idcnt ot tha Sl~to ot Florid~ aiaee " - da~e of
~ ~9~.,~ and I resido at ~ ~ ' '
lSte~t and Num
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~,2rp • ST . 1. UG I E County, Florids,
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~nd this statcment Is to bo~ taken u my declaration ot eit~ZCnshtp. actual legal residcnee and domicilc in thc Statc ot Florids.
IF F4R THE PURPOSE OF ENROLLING . IP fOR HONESTtAD PURPOSES~
CHILOREN IN SCHOOI~ PLEASE STA7E P~EASE CHECY: ~ -
THEIR NANES2 ~
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, ' ~ICEO AtiC RE ,
- ST LUCIE C~UNT1rR~~ ~ . -
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1 FUIi7'IIrR CF.RTIFY ihat J will refii~tcr at my local addresq wl~cn the rcfiistr~tion books rcopcn. and comply with all ~
ol}~cr rcquiremcnis o[ a lc~;al residcnt ot tais Slatc. ~
I FURTI ~t CC lF~' tl~at I havc no intrnlion to rcturn to my formcr domicilc. and I intcad to rcmain in ~
,!~/l~"~c , ST~ L UC 1 E . G+unly,
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Florida. pcrmanenti~. '
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