HomeMy WebLinkAbout2800 R~c~~ra~o~n ~f ~~rr~iG~f~ and C~~i~~nship
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TO THE C1.ERK Ol~' TIiE CIRCUIT COUIiT. ~s~
ST. lUC I E COUNTY. FLORIDA: . .
Tbis b my deciarat~o~ oi I)oaiicite and (:itisc~hip ~n itie Slate ot Florida lhat I am t~ing this d~y !n accurdaneo. and in .
coprorn~tr w;eh s~ceton ~2.i~, r1.or~aa Suwces. • .
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l was tormrrlx a k~i r«idcat oi and I
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~d~ ~,t 2 5§ 1 S ixth Avenue - However. I bave elu~ngrd my domicilo to
(Stes~t ~d Nnrubsrl ,
aad am ~nd lu~vc bcen a bon~ !'~dc residcal oi tt~ filrto ot F'torida since .._.Dec-~+,~ ha ~ 16 t: t 4I~ da~ ot
19,...:nd I resldeat 381 Cam _t n_Dr3 v~ ~
lStre~t a~d Numberl
Port St. Lucie ~ • ' ST. LUG I E Coun~y, Flor;a•,
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And thts statcment is to be taken ~s my decluration oi citiunship. actual legsl scstdenee and dotnieile in the State o[ Ftorida.
IP FOR THE PURPOSE OF' ENROI.LlNG ..I~' fOR HOHESYEAO PtIRPOSES~
CHILDREN IN SCHOOLs P~EASE SYATE PLEIISE CHECKt ~ !
tNE1R NAMES2 ~
Barbara Anne Furino ~ fTnAian u3~or Comaunity College)
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NOTE: '
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+Husb~,. .J.ac.k ~`ut~'i,no,. t~as been a resident of Florida since July 26., 2974.
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I FURTIIER CERTIFY tha1. I wip regi.~ter at my iocat address whcn the r~gisiration books reopen. nnd comply ~vith all
olhcr requirements ot a lcgal resident af this State. ~
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I FURTIIE~ CFRTIFI' that l have i,o intention to return to my former domic~'le. and I intcnd to rcmain in ~
Port •St. Lucie , S7 . L U C 1 E . Cr~unly.
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Fiorida, permanenei;, f.~~$D~4Yr ~ ~
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S~vorn to anJ xul~uril~cd l~e(uro mc thfs a day of pOrt St . LLiCie, Florida 34~
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. A.A. 79
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