HomeMy WebLinkAbout1981 d~~c~~r~.~6¢~r~~ a~Q ~~~E~~e~ a~~ Cc~~~~n~~o~ "
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TO TU~ CI.~ItK Ol~' T11E C1[tCUiT COUItT, ~~lC'6
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ST. L uC 1 E covrrr~r. ~.oninn: • .
9'his b o~r dccl+~~e~lion of Aoa~icile and Citi:cnship ia tho Sti?to ot ~'locid~ that 1~m I'ding this day in aeeordanco. ~nd tn ,
contormity with Srcllon ~2.17. Florida Statutca. ' '
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I w~s to~m~rl a k~~i ~eaidcot of ~p T e/'~.. . ~'1!~-~~~~ a~d I
Iptp) tState) .
residcd ~t ~.~a~.= a~~ ~R ~~F- -lTowovcr. l he?vo ehsngcd my do~niciio to
. IStre~t aad Nun+Dor1 •
pnd sm and havc bc~n a bona tidc rcaidcnl oi the SU?tc ot Flurida sinco ~ day ot
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n_„e~ , ~9.,.7.a~.... ~nd 1 resido at (v ~ ~ ~P~JC ~ 5 ~ (.r D!/i^ t r7P'l. -
(Stewt aAd Numbo~)
: pi e rc ~ st. lUG ! E c,os,Aty. ~or;aA,
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~nd lhis sta~mcnt is to be taken as a~y dectArAtios~ of citizcnship., aclual legal residcnec and domicile in the Slutc of Flnrida.
I F FOR TlIE PURPOSE O~' EHROLL lNG . I~ POR HOHESTEAO PtlRPOSES~
CHtIDREN IN SCHOOI~ PLEASE STAT_E PLEIISE CHECK: ~
THE1R NAMES2 ~
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F.~CEn P~~-A~S
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I FURT}IER CF.RTIFY iha~ I wiq rcgi.~tcr at my loca) address Ml~en thc rcgislrtion booY.s rcopen. and complY with all
other rcquircments o[ a legal residcnt ot tl~is Statc. "
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I FURTIICZ CCRTIFl' thal I havc no intcntion to rcturn to my tarmcr domicitc. and I intcnd to rcmain in ,r
• ~ ST . ~ U C ! E ~ Cnunly.
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Florida, permancnti~: ~ . '
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:~~y~ei'n to t~~iiJi~p~Kn'I~S~$cioro mo thia dsy of • j" ~~C i''C e ~lQ/~ .3 3 S~
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