HomeMy WebLinkAbout0102 .
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TO THE C1.~;RK OF THE CIRCUIT COUItT.
ST. Lt1C t E_,COVt~r1'Y. ~.OtunA: , ~ . .
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Tb~s is my dcct,~r~tion ot Doinici(e ~nd Citi:e~ship iu the Stat~s ot Florida that 1 am Glie,a tWs dyr ia seeordanee. and in ,
coAfara4ity wtth Sect~a 2~.17. Flo~ida St~tules. ;
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I was to~ ~ 4~1 raideat oi ~ ~.h'1 n N ~ ~ rt~ a- ~ • ~ / ~ ~4- ~ i ~ -
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resWcd at - HoMrever. I b~ve cbanged my domieib b
184wt a~d tdvae~rl •
and am lu~vc bcea a bon~ flde residcat oi the St~to ot Fbrida sln~e - day ot
~ 181.~.. ~ad I r+esfde at ~ 14 ~ ~
~ ~ ~ • ST. LUG 1 E~~N~~~~
~ Couaty. Florid~. .
~ (Ci41)
and this statement is to be t~lcen ~s my decluation oi citiuaship. aetual kgal resideace and domicik in the Stato ot Fbrida.
IF POR THE PURPOSE OP ENROLLING . If fOR HONESTE/l0 PUttPOSES~
CHtLDREN IN SCHOOl.~ P~EASE STAYE P~EASE CNECK: ~
THEIR NAMES:
~ilaP_ l hee ~ f'!/~ ~
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r~i -~1 C_` S . o ~M~ RECpR~Ee
a~UCfE COUMT1r Lr~.
c~~~~ ' I I S ~LERK~Ct~C{~T COURt t, ~
• RECORD VERtFt~p ~
~
~ . . ~ 2S S7 ~M'l5
R
' - ~ 3~,54,29
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I FURT}IER CERTIF'Y that I w~71 register at my local nddress whcn tbc rcgistration books reopen. and eomply with all
othcr requirements Q[ a lcgal resident ot this Stale. ' _ .
G FU~j
1'IiEZ CERTIFY that I have no intention to rcturn to my lormer domicile. and I intend to remxin in
/ ~ `''Qj"~ ~ ~ ~ ST . L UC t E , Cnunly.
ICitr) .
Florida, pcrmanenti~. . ' ~
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; Sworn ~fakq0!~iif;scriLed betoro mo thi9 ~ ~~-d~y ot
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~ ROGFR POI /1S,_CLERK OF C IRCUI T COU2T .
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~ ST. LUCIC COUNTY, FLORIUA
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~ ~ PU LERK
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~ BOOK 243 PAGE ~V~ -
~ . ~ AC(1 F'r~nn 11
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