HomeMy WebLinkAbout2724 . ~ . . . . , ~ ~
Q~c~aration ~f D~m~c~le and C~~iz~nship
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TO TNE CL~;ItK OF TlIE ARCUIT OOURT. ~"N
_ST. LUG ! E ' COUN'ry. Ft,pRIDA: . ~ ,
7'bis h my decl~ration ot I)oaakAe and Citlsoaship in the St~te oI I~'losida th~?t I am tilia6 tais da,~r in ~e~ordaaee. ~u+d tn -
eonfaYnity witb Sectlon 2'.2.17. Flo~ida Statutes. . -
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1 was f~ ~ k~l cesidcat of • NDe OQ~n ~ ~ ~ G~,M e~ aad I
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cesWcd At ~fD ~ ao~'Da~+i' Q~'~/ - l~owevee. I b~ve cbaa~d m~r domicilc to ~
t8hwt ard NvseK1 •
~?ad un snd hsva bcen i bona tide rostdcnt of t6e Slate of Florida sincs day ot
2 c~ .]9~.. ~ad I reside at f S6 /yL°/Y~°T 5~~. ~
(St~wt aad NwsOsrl
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~?nd lhis statement is to be taken as mr declaration of cDtizenship. aclwl kgal rasld~nca aad domiu'k io tho State ot Fbrida.
If POR THE PURPOSE OF' EHROILING IF' fOR HOHESTEAO PURPOSES~
CHILOREN IN SCHOOL~ PLEASE STATE PLEASE CHECKS ~
tHE{R NAMESS -
I~o3e~ /~~eSle~ei ' .~c~ L~~~~tl •
Tf~~ J4~r~! C'o ~~.u2~ . F~~o ~EC~~aEO .
sr. iuc:E ca~,~TY f~~.
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I FURTIIER CERTIFY that I wili regi~ler at my loca! address when thr registration books reopen. end comply with all
othcr requircments of a icbal residenl ot this State.
f I FURTIiE:t CEItTIFl' at I havc no intcntion to rcturn lo my tormcr domicale, and I intcnd to remain in
~ P~~ .jT ~e.~Cr ~ ~ $T . L U C I E : Ct?u~ly.
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~ SwoTb.~qh~at~pt?:ieribed beloro mo thi9 ~ G day of ~~7~JToeu~/C~
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ST. LUGIE: COUNTY, FLORiUA
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