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HomeMy WebLinkAbout0222 D~~~~rati~n og ~ar~icite and Cit~~enship~ ? ~ . . . . . _ . . ; . . , . . ~ ro ~ c~nK oF ~ aRCUrr oovar. ~2"7y`7c~ _ . ST.,, lUC 1 E .._`.t0UN1'Y. FLORmA: . . - . Tbts b ap? deel~ratiou ot Doeaicjk sad GYtlmASbip ta tlw 8tae~s ot F{ocida tbat I aaa ti3ia~ ti~ ia aooo~dioee. ~uwt io , ~oata~niiy with Sectto~a ~.19. FIc~rld~? St~tuSa. . . , . I wu t ~~l ~ kgal r~~kat oi ~~~v,T ~DC~ l~(J AR~ and I ~ e~ided at -*~~o g fll~ f C,~ s•vDiArv~=~tr O~~_ _ ~ T Q~.... Nowev~. t bave ebaa~d mp daasicib to l~+wt md N~naO~d • !Oa ~1 i~ IMVQ ~MOb t bOft~ ~Q lC~dlat Of ~ StiLO O~ FIO~ i~liCe ~.,,.~Lir•" s~Jr ~ 0~ ~ ' 19~.~,sadlresidaat M~~,~'~:~~~N~=~~' ~ r_-,rr: . SI~~IvlJN t/1/lF_S , tser.....aH~.rl couat Floriaa, AsR'' ~ t qe~C. ST. ItJG t E r. tav~ _ - ~ _ aod tDIs sbitement iis io be takca as my ikctarittjoo ot citfacnship. :ctual kgat residance and domicilc ia tt~e Stste ot F'lorida. . ~ _ ~ . . . IF fOR TKE PURPOSE OP EI~tROlf.1NG - If FOR HONEStEAO PURPOSES~ CNILOREN ~'IN 3CH00l~ PtEASE ST:A7E PLEASE CH~ECKt ~ THEIR NAMES: ` 1 . _ ~ t1~E0 Af10 f~EC~a~~. , - . . fT. f.UC1E COUM , . , ppC£R FOtT~A~ . ' REC RD YEit! IEO COYIIt . . ~ ~ ~ : . - . fi~ Z~i 3 w~ PN'~` . ~ . ~ ' ~ ~ , ~ 32;`7y~9 . 1 FURT~IER CERTIFY that I will regist,er it my local address when tbe regis?rateon booka reonen, and comply witA att otber requirements of i legal resident of l~is State. I FURTIiE~ CERTIFY tbat I have no intentian ~ to return to my lormer domicile. snd I intcnd to remain in • , ST . L. U t 1 E , Ccwaly ~ tc~r) . ~ , ; ~ ~ ~orida. permancnci; . ' ' • j ~ ' . 1i ~ r . , • _ ' ' ? ~ , • . _ ' . . 1" 70 ~F~i?"~/1R R~nl ~~l /:I~+r/ ' Q.: , . t~aan,.~ Swom'id'~nJ`s}~.t~~e~:bbloramei}iis~"L_.d~yof ~PAi1/lJ~~ L/~l~~ ~ ~j~2% ~ LK~/~ j ~Lp- r7' : ~ . t~. A.n. 33 ~S°y ~ R~CfR' ~P¢1~'('F2aS C ERK OF C IRCU1 T COt~T ~ ~ ~ ~ . ST, l.1JG t~ coUrvTY, F ~oR t va . ' _ 8Y: . ePVTY ~EKn ~ - F:_~ 249 ~ 2~~ . ' ~ - ~ At;(1 F'unn 7t'T.- - ~`"t-~.,~'~ ~ :-w~~s'",u : S. ~ _ . ~ c = W t-¢~k~ . ^~~"~L'~ °s~,~. ~ _ ~ , . _ ~'s ,eo-..,,.~-. ~ -