HomeMy WebLinkAbout0879 vec~a~~tion or uomici~e ana ~~t~zensn~p
31~?;~ `
TO THC CI.EAK OF THE CIRCUIT OOUAT. .
ST. l UG 1 E ~,~pUNTY. ~-I,pRIpA=
Thb L ayr declardbn ot Doa~kile aAd Clthansbip in tbs State ot Fiotida tbat I ua Slins this dyr ta a~oordana. aad la
eontormftr alcA seetioo 22a.17. ~'lorta. stawtes. -
I Mras formc~,r a kgal e~esident ot - Mi.C ~o.e 1~ ~ o and I ~
. (W1 letaW
resided st 5"!~/ L~co e~• F~G /c~l R - Nowever. I have ct~aag~ed ap? doinicile to
l8tn~t a~d NmreK) •
and am and bave beea a baat C~de reaFdent oi tbe 8tate ot Florida s~oe 2~~ da,~r o[
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~9 d sT ~!9 . aad I raside at 5//~ .C3 M A/'C° ~
- ~T. ~i~ r~~ tsw.~..aN.~~ ~ .~os~as.
~ ST. ~UGIE y
cav~
and this atstom~eat is to be takea aa deelantioa of citisen~hip. ~etuat legal re~idenoe and domlei~e in tbe State at Flo~rida.
I~ iOR THE PURPOSE OP ENROLLING If FOR 110MESTEAO PURPOSES~
CHIIDREN IN SCHOOL~ P~EASE STATE PLEASE CHECK: ~
THEIR NAMESS ~ .
,_7'tn~.~7i~ •t • ~ ~O ? ~ T T
FILED Ai1D AECQROED
' ST. LUCtE COUNTif fLA.
' ROCE~ POITRAS
~ CIERK CiRCUIT COURt
RECORD Y£RrFt,a ~
- S~r 3. 9 is AM'~5 ~
. - 3159~,2 ~
1 FURTHER CERTIFY that I wi71 ngister at my locsl addreas when lhe registntioa booka reopen. and rnmplp .vith all
other requirements ot a lcgal resident of this State.
I F'URTHE~ CERTIFY that 1 have no inirntion to return to mv former domicik~ and I iatead to remain in .
~ i B r~ co _ S T. L t1 C 1 E , County. .
ccur? .
Florida. permaaenti; .
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Sworn to rnd su6scn'bed before me thu ~ day ot G~~, 33 f~•~
!J
, A.D. l9~
ROGER P01 TRAS, CLERK OF C IRCUI T GOl~2T
ST. Ll1C i E COUNTY, F ~OR 1 UA ~
BYs ~
EPU7Y LERK
~~RK 243 ~ ~0 ~~o F~,~.~
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