HomeMy WebLinkAbout0065 . t?~cl~r~tion ~f ~~m~cile and C~~~~~nship
, , . . . .
. , _ _ .
. 315404 _ .
TO TlIE CL~;RK OF TIIE CIRCUIT COUAT. .
ST. Lt1C t E ~p~~y. ~,p~A: . .
Tbis b mr declaration ot DoanicUa and Citl:cu~hip in the St~lo o[ Florida that I am I'li ing thi~ dxy in aaordaace. and ia ,
tonfotmity witb Scction x'2.17. t'lorida Statutes. ' '
a_
, ~ , -
1 was torm~rl a kgal resideat oi =-1.~!n-~-!j ~M p~D • ~ 1
IC~U?1 IState)
~,t Howevcr. I h~ve ehi?uuged my domiak to
tRtnK wd Nvmssr) .
•nd am and havc bcea a bon~ lidc tcsident of ihe Stnte ot Florida siaee ~ day ot
19~ aad I reside at ~ ~ -
t8t~ and Nnm~L
, ~~A.a ST. L.UG 1 E cou~tr. Florida,
tcusl .
uLd tbis statcment is to be taken as my declaration of citizcaship. actual kgal raideaee and domieile in the Stato ot Florida.
~P FOR TNE PURPOSE OF ENROLLfNG I~' FOR HONESTEAO PUR_POSES~
CHILDREN IN SCHOOI.~ PLEASE StATE PL.EASE CHECKS
THEIR NANES2
. -
. - .
~
~ fl1.E0 A#t8 RECOitO~
' ' ~ fL ~fiEw FanRAS ~ ~
• Cl~~ic Cl'tCUt~ COURt ~ .
RFCO~n YFP;f~E~~ ~
~ . Auc 15 8 z~ AM'15 -
. - 31~04 - ~
.
- _
I FURT}iER CERTIFY that I will rcgister at my loeal address when the rcgistration books rcopen. and comply ~vith aU
other requirements o[ a legsl resident ot t!~is State. .
~ I FUItT C~ CERTIF'1' that I have no inlention ta nturn to my farmer domicilc, and 1 intcnd to remain in
f ~j}i,a f~ ~1~i~ ~ S1' . L ut t E , Cc.uoty.
,
j (Citr) . .
! Florida. permanen~i; .
~ ` ,
~ : ~ •
~ ~
' `.~f .
. . " _
- •
.t~- ' '
~•''•,~s+".
. . ~ ~ ~~>;.,'i: ~ . .
.;j• ~'.~t~ ' Lf rr.
. : . ' _ i ' .
u'. ~ •r i._ ' . . ~ =`k, .
' - _ . - ` . . ii1~ ~ ~ r!b ~~f//! l
~y.~
~ .t1Z'. ~ : . t -:~'1 T'
~ .~ti,
f lN~) /
x y
. ~
~ i~'~ . c,'~~ ~ _ ~.ll~~~L!/~P
~ ~ ~ ~~C i r = ~ G~~ f~ (AdJrc~~1~p .
~ Sworn lo~n5~„au~~i 1,ed ix~foro mo this dsy of _ vf[.'l-~P1
~ •
. A.1~. l9_7•~
~ c ~
~ RnGER P TR/1~,~CLFRK OF C IRGUI ~ COI. tT
ST. LU~ I C COUNTY, f LOf~ 1.UA
~Y: r ~ -
~
r. ur ~.~i~K •
~ °~R 243 p~~F 65
~ r
~ ~r~~ t•~~?~~~ r;,
~ . ~
~
~ -
- - -
- - -