HomeMy WebLinkAbout2612 ~ ,
3~~2~
_ . . . . ,
,
~c :~ara~~` ~ af ~~~ics~~ ~nd G~r~~~nst-~i~
~ .
T07`!lE CI.ti1tK OF T}tE GIRCUIT GOURT.
ST. ~11G 1 E cotn~mr. Ft.onm~:
' TAis is my dcelaration ot ik,micik and Ciwenship in the Statc ol Florida tlut I am filina this da~ io acco~nce. aml ia
con[ormitr rrith Settion ~
:.'.17, ~lo~ida Statulcs.
. •
~ Iwrastormorlxsk~slresideatot ~ d ~ V M~L~ S O~C.G ~'A andI
1 71 T~- lSUt~)
resided at ~ _~lorrsrer. I bave d~at?xcd mY domicile to
• lsuael ~ad tdameKl ~ Q ~/c
and am and have beca a bona fidc resideat o[ the Stale o[ Florida aince F t`~ day o[ -
~ 19~~iAd I reside at ~ ~ " ~ • ~ E ~ -
ISuwt ~ad N~~rl
~l-;-h~ S2. ~ _ ST. LUG 1 E Co+,n~y. Ftor~d~?.
ccxal
and this statement is to be taken as my dce4ntion o( citizeast.ip. aetur] lrga! rrsideuee ~nd doa~icile in Lhe Statc oi Florida.
- ~F FOR THC PURPOSC OF EHROLLING JP iOR HpMESTCAD PURPOSCS~
~~CNiIbREN tN SCHOOL~ PIEASE STATE PLEASE CHEGK: ~
THEIR NAItES:
~ 3~~-~ o~
~ ( 2 L. fILEO Ak;; ~E.~iRDEO
'~B ~ M DA~ ST. LUC+c ~OIiNTY FtA.
- • Rp;': ? ' ~ iRAS
. ClE?r. ~ . G°!t? COURT ~
' RFC~F ~ ~ "If "
- s
- o~T ~s l15~ eH ~7~
319~25
,
I F'vIt17IER CF.}t'FIFY that I wiq registcr at mp local addrcss whcn the re~ictration books rcopcn, and comply wit6 all
olher requiremrnls ot a kgal resident ut this State.
l FUR7'f1F.:t CERTiFY thxt I havc no intcntioa to miurn to my iormcr domicilc, and I inlrnd w remain in
~-__~~~t.ltc , $T . L UC 1 E . County.
ICusl . .
Florida. pcrmanrnti;. "
1
•
~ 7 0 c~.N~l ~ ~ ~17 y„
~ (Addrea.)
S~rorn lo an~l suLscribed bcforr mc lfiis day of
b~ T A.1). l9 ~
~
' Roc~cr~ t~o 1 Trtns, Ct_C~?~c ~F' G I rtGt_ i T COt~tT
~ ST. lUG I f_ COUtJTY, ( LOft t t)A .
. ~
BY: ;
, ~ ~ ~ ,
' "'1 ~ ~~uK
~ ~ C •k~ : .
.a~:~, ,
"j •:4v~~11Q::-••.':-~ -
: , „ . . .
r~_ ' ACII I'w m 71 M
- i ~ .
,n . -
" j '9 ' _ %1/; .
J %Mr') • '
t~~ ? j;•` , .
~
aooK24~ ~ac~26~
: . _ _ _ _
- _ : _ _ _ . ~