HomeMy WebLinkAbout0499 vec~arai~vn vT uvri~~c~~~ a~~~ ~~N
. 31~''~0
TO THE CLERK OF THE C'1RCUIT OOURT.
ST. LUC 1 E ~ ppUl~rty. Ft,pRIDA:
Tl~s b my deetaratba ot Domlale aad Citisenshtp in tbe 8tate ot Flocid~? th~?t I ara 61ias this d~?~r ia aooordanoe. and ia
eaa[ormity wilh Sectioa 222.27. Florids Statutea.
I was I erl a ksal resideat ot C V 1 I/ D~J u . _ ~o~ . and I
ICWrI letaW
resided at I 41 D~ p~~n ~ 4~iV S JZ d• v - I~owever. I b~ve c6an~ed nqr dotnta7e to
lBte~N ~d N~obwl -
and am and havs besn a boau tde residant ot t~e State ot Ftaida sinos r'~ Z~ r°~ dq? ot
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a-T r ,19 7 5, snd I rasids ats/o I~ ~"t ~/r ~-1 Jr'. .
ts~..e..a H~t
f' 7~• ~i e rC P . ST. lUG I E ~„cy.
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iAa L~S iLi1kA1Cl1L ~ t0 D! WCell iS !D~ dCCIii~L101i Of tl~Il+lA~A~~ ~Ili~ b~ lQd~O1100 tAd dOQl~t1~0 li1 ~1! ~LtO Ot ~i.
IP fOR THE PURPOSE Oi ENROLLING If FOR 110HESTEA~ PURPOSES~
CNILDREN IN SCHOOL~ PLEASE STATE PLEASE CHECKS r y~
THE IR NI1MESi 1- ~ ~
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f11E0 AMG eEC0~DE0
St. RoCE Pa NRAS~A.
CIERK G;~+CU~T COURt ~
acl:An~~ y~ ~ FiEt~.~.r~~"' I
~ .
. A~ ~8 12 ae PN'15
~ 31S690
I FURTHER CERTIFY that I w~i ngister at my loca! address whea tAe ngis~ratioa books reopen. and ~ompfp with all
other requirements ot a legal resident of this State. ~
I FUR~`HF„~ CERTIFY that I have no iat~ntion to return to my formcr domici7e. uid I iatend to remaia ia .
tf•. / ~prce ~ ST. LUCIE ,County.
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~ Florida. permanen~i; . ' ~
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(Addnss)
~ Sworn to and subscribed betore me thi~ day of r' T~~ i-° r~ o? •
A.D.19 / J -
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~ R GER P01 AS GLERK OF G{RCUIT COURT
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~ ST. LUCIE COUNTY, FLORIUA _ ~
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` BYs
~ e uTY LERK
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~ ~ BooK 243 ~ 499
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• AC(1 ~orm?1 22
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