HomeMy WebLinkAbout0064 . ~
F
~ ' ~ ~ ~ ~ . ~ ~ ' '
t~~cl~ra$aa~n ~f ~~m~c~~~ an~1 Cit~~~~sh~p ~
,
~ ~ ~ ~
• i ,t
, l
~ ' ~ 3iS~~3 .
TO Tl~~ CL~;RK OF TiIE CIRCUIT COUItT. ~
ST. LUG I E ~pUNTy. FL,pRIDA: d
This ia mr dcclaration of Docuieile and CiUzcnahip in tbe St~to ot Fbrid~ that I am t~ia~t thu datr i~ aeeordsnco. and jn ~
con(ormity ith Section 2~.17. Florida Statutes. • ~1
1 wu tormcr~ ~ kgal tcsidcnt oi A~~ ~CG / Ile ~ ~ ~ ~pd ~ ~
. lC~rl lse.cel
resided at c , lIowover. I havo chsngcd my domicilc to
l ~ud Nu:operl - . ~
aad am ~nd h~vc becn a bona fidc residcnt oi lhe Statc ot Florida since / day of
K~lis ~ _;192;3_. a~d I nside at l~ 6 ~ C- o ~
r°~" ~M~-~-~ • ST. LUG I E~~~N~~neer! ~pty. Florida,
ca~~~
and this statcment is to be taken us my declaralion of eitizcnship. actuni kgal residene~ and domic~c in thc Stute of Fbride.
IF' FOR THE PURPOSE OP ENROLLiNG - If POR HONESTEA~ PURPOSES~
CHIIOREN IN SCNOOL~ P~EASE StATE PLEASE CHECK:
THEIR NAHES;
7 ` ~ ~
_
' ~ f~~ea i ~
i ~ ~,~Il,~ ~lf~7er kt ~~CORDED `
S'f lUClE GOUNtY FLA. v`
R~7C~n FQiTR~{$ ~
- CIFRK Ct?CUIT COURt
. ' RF•".C3t1 Y: c: ^tFD
. ~ 11 ~ 03 PM'lS
. • 3154t33
• - . ~
I FURTIIER CERTIFY that 1~vill rep,i~tcr al my (ocal addres~ whcn thc reb?istration hooks reopen. and comply with ali -
othcr rcquircmenls ot a Icgal residc.nt of this Stalc. ~
I FURTjjEr~R~'-1f~tcha~ I kavc no int~ntion to relurn to my tormcr domicile. and I intend to rcmain iu
~Y ~ ST . L U C 1 E . Cnuuty.
tC+tr1 .
T'lorida. pcrmancnti;.
.
M
' ~ i
; _ ~
' ~ ~
i ~
~ • _
~ • ~
i • - 4
; ?
i
~Q ~hne_ L~1-1~~~
_ INiune~ ~
C••. ~ /O GG ~Po
. ~ ~ aJres.) -
.l : ' -
Sw~rqto'~j~! sub~c~iiar~beturoma thi' day o~ •r~ ' Ie rCe_ '
r...... ~ n.n. i~~ 7.5'
. :
;
Rt1CF p•~° _',`r=CLFRK OF CIRC.UIT COUZT -
. - -
~ ~ ,
; ST.'•-L" t1~ I~~C,bUPJTY, F I.OR 1 UA
oY: , ~ ~ _ .
PUTY LEItK
,
. ~ . ~~RK 24~ ~ fi~ ~~.R ~~..<<,~„
_
~ s ~ ~ ~ . _ ~ z'~`