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HomeMy WebLinkAbout0525 Declaration of Domicile ana L~t~zensn~p :r ' m nis c~~uc oF ~n~E c~ncurr covRr, , ~,~~~~~y ST. LUC 1 E ~~o~: T1~ M a~? detlaratan o~ [)o~aicib and CitiunsAip W ti» Stat~ o~ E lotida tAat 1 ua Gliui tAis dap ie ~etwdaaa. a~d i~ ~y Mlla SKtbu "~t.17. ~lorid~ StalYlH. I was ~~i a k~a! rssid~nt o~ ~7~ ~ ~8 _ a~d 1 ~Ay1 I~t+RM K~{~ u ' I1o~wrK. I haw c6an~ed m~ do~iciM to {f~ ~ N~.rl / ..e.m u~d I~av. be.o. boa. r,d. ~e»dsat of tAe staa d ElOria.,iae. f-~+f d.~ a~ T1_-b , l~ 1~ - and I nsid~ at ~ L t~ /t~ ~lr~ . - ~~trMl ~ N~i ~T~ :-r P_ _ ST. LUC i E Couatr. Ffo~d.. ~1 ud tAis st~temcnt b to be takee u mr deelaratioa o~ eitiunstip. aetw! k~~! residente aad doen+cile ia tM Stace oI Etosida. Ii ~OR THE ~URPOSE 01' ElJROLIING ~OR MONESTEAO P~R?OSES~ CMIIOREM IN SCHOOIi PLEASE STATE ?L[AS[ CMECK: ~ TMEIR NANES: i-` i~ C y~ u lu U L) t C~~ ~ ~~.Er n,~ ~tc~~~EO f1 ~U~t~ ;,~vM*t ft4 t F;, :F - ~ ?~TA~S ~ CIER? i.~iT COUNT Rf Cf,S' ir.~ ~sf" Au~ li 10 s41M'76 ~j 1 ~'1 ~`~,y 1 FtIRTitP:R CFRTIFI' thai 1 w~ll rcRister at my locd nddress whee tt+e ~egistration books reopen, and comply with aU otLer teQuircm~•nl+ o( a kgal ~cs~lcnt of thes State. 1 F'UItTHE:Z CE:R~'1F'Y tAat 1 Aave no intrntion w roturn to mr (ormcr domicik. and 1 intend to remain in 7l ' - S T. L. U C 1 E . Counly. ica~r . Fbrida, pcrmsn~~ci,. ' ~ ~ ~ i ; ~ ) " ~ ' ~,f.~~ ~2~r~ [ t - ~~Pl~~f ~ ~;1~..1~/ ~ . ~~:o . , ~ " ~ ~ • - . ^ 7 ~ . i, ~ . ~ , ~ - - ~ ~ ~ri ~t~' • ; . . . . • vs , . a? ~ INais~ - _ 'C / i c . • ~ ' 7 tANn..~ Swon! to ~nd wtrxribcd bcloro mc this ' day of ~„~~~;,,T <-1'.cz . ~.n. i9?~ , RnC~ER ~_TRAS~CL.~ftK Of C IRCUI T COU2T ~ ST . L L'C I E COt1NTY, F LUZ i UA = E3Y: - , - -c - c _Z i ~ ~U1 Y L L N K / ' , ~ ' ~ ; ~I~/Y • M.w ~ F a ~ " ~ 1 ~ . . .a,:,.!`~~ ~ . . 'r'^'.'~W, i ~ .e `+~.w ~g. ~'."~~#F'~ ~ L^~y= ' I