HomeMy WebLinkAbout0128 ~r~ ~ r~~~ ~ ~ ~~~w~~~ M~ ~~li ¦ •~V• ¦Y~ `J
{
11 • • • • • ~
. • 4~.
4
•
TO THE CLE;ItK OF THE C1RCUlT COURT, . 315~~ , l
ST. LUG t E opv~. ~,p~p~= . .
Tbb b my declu~tion oi Docaicilo aed CitGcenship in tbe Steto o[ I~'lorid~ tbAt I ~m piag tbts dyr ta aeeordance. and ia ,
eontortaitr with Sccllon 2:2.17. Florida Statute~. ' ~ ~
.
I was Ior~,r~ a kg~l residcnt oi 1-~~A/ • ~ ~ 1~Ei~t~~
/t I'~ ~ I •
lC1t~r1 tStatd
res~dcd at c~'t9 V
1/a I~~ I~ C% • - I~owaver. t hsvo changed-aqr doa~icilo to
~8tewt wd Nvmbsr) .
and am ~nd heve bcca a bon~ fide residcnt ot the St~te of Fiorida since day oi
~ .18.~.,. and I nsido at L ~ l~ -
_ Pc~ R i P ~ ' ST. LUG 1 E~~N~~~
County. Fbrida.
~
and this statement is to be taken as m~r deelu~uon oi citizenshIp. actuni kgal restdence and domicile in the State ot Florida. ~
IF POR 7NE PURPOSE OP EHROLLiN6 - I~ FOR NONESTEAO PURPOSES~
CHILOREN IN SCHOOL~ PLEASE STA7E P~E/1SE CHECK: ~ ~
THEIR NANES.
1~~`~
I2 j e /7 o,,,.uA//'~
~ ~ ~ 4~ Ill ~,___l~,Ir °~Y._-'~~l~~ . LE AM .
r~. R~U~R~,~' a
f ~ ~«RX ~~~CUIT COURT• ~
- RFCORD YERIFlED~~
~ ~ IS 12 PM'T5
• - ' ~ •a. - -
. ~ ~1~44'~'
. '3
I FURT}IER CF.RTIFY that I will reg~~tcr at my local addi~ess wt~cn the rcgistntion books reopen. and eomply with al!
other requirements ot a icgal resident of this Stale.
I~R1'iIEZ CFRTIFY that I have no intcntion to return to my lormer domicfle. and I intcnd to remain in ~
OR~ f ! ~t.~~',._L.1 ST. LUCIE .Cnunty.
(Gtr) .
Flurida. permanenti;. - .
. .
i • -
i -
_ . •
, -
E ~ .
~ ~ . .
•ib;•vo, i
E (J' ~ ~•j;~y~fyr,j?~~ s Y:.. ~ ' ' • ' .
.~s. ~~i. ~~•~i •`'S' -
r . . ~ ~i ` . / . '
i:e ~
~ , .Jv' Y • . ~ • ?
f ' %~:it:: ~
; ~ ~ . p •
[ I~:~ ~ ~i ~ ~ i~1.~'- r
` I t`}. ~ ~ 1~1 ~
~ ; . t ~ ' : :
t ` !ia_t' ~ .y ` .
~r Q~~e - •
~ ~ ~.~~v` - ~N
` ' V_s~ yr~f' ~1 ~o7VJVA7
~ . ~
° ` ~ (Nuae)
i -
~ ~fi "~p:~
t ~ .
,
' . • • • ~ (AdJrea)
; Sworn lo and sub.4cril,cd 1?etoro mo lhts ~;a~. day of
' , A.n.19 `~.J~
; ROCCR PO RAS, CLERK OF C IRGIII T COUtT
~ .
f
~ ST. LUGIE COUNTY, FL 1DA ~
~ i
}
~ E3Y: . .
~ ,
~
~ c r u t Y n n"~"-" o R`'~s~ ~~~A
; BOOK ~ J
.
f
~
F ' ~
} ~ ~ Ar,~ F~~,r~n
i
5
K ~a-A~ ~ ~s~~~ ~ y~ ' t _ _ . _ . _ ' '
$ ~~tc*-~"fi ~ ~ _ ~ m#~,~`"~ _
. ~~z~ -