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HomeMy WebLinkAbout0899 Deciaration of Domicile and Citizenship ~ TO T![E Ct.ERK OF 1'flE CIRCUt'P (?OURT. :.1 ST L UC I E Covt~t'tt, t'wtun~: ?w r.y? aKbr.~;o~ o( aomic~r..nra c~ti~.~Ai~ la ~u. sc.a ~l f1a;a. ui.~ r~ ua. e.,p ia .c~~+a..e.. .~a i~ ~h~ witA S~ribu 222.17, F lorid~ Stat~t~s. I ~ " ~ / ! ~ ~ ` ~ J . w l 1~ n+r~l a k~al eesideat ~1 ; c(~• ~ r• ~,r - Md I • t~t~l nsided at y~. a= r f~ _ HNrrwr.l?av~ e!?anpd eny do~a~cil~ to ~M.Mt ~ t~.~..t i~ iY! ~ I1~~f ~tfll ~ b011~ Gd! !'tlldtAl O~ ~M S~~t O~ PIOr1~ tlllC~ ~ ` ~ ~ ~ , ~ 7 ~ 0~ / ~ , • r~ 1'~.~G~. ~ T f'ftl~ ~ r ~ f ' r' ~ C 1 )`1~ ? ~C _ , t , 1~tr~M rr/ NMwI ~-f < c~--- _ ST. LUC 1 E Co~ac~. E~., ~ aod tl~s stat~meat n to be tak~a as o~r dee4ntioa at dtiuasl~ip. aetua~ k~al eesideac~ aad domicii~ lu tM State o( Plo~da. I/ i0R TN[ ~UR?OS[ OF ENROIIiNG I~ ~OR MOMEST[AO PUR?OS[S~ CMIIOREN IN $CMOOI~ rIEAS[ STATE ?~CAS[ CHECK: ~ TM[IR NAM[S: i ( : ( .t ~ ~ . [l+ r ( r ~ ~ 1 ~ _c.,~ J_ ~C N.: a ' ' 1 .y c 1< < ~ - I~~ie't? ? ~I `teC'- j ~t . . • nr Ci= c ,R~S t~ 1\~ • - ~ Aac !8 ~ yy PM 'T6 ~ l FVRTIiE:R CEI~TiF Y that 1 rrd) r~~~ter st mr local addrrss w~h~n the r~~stratan books reapc~, and ~om~i~° w~th aU otAer requirements o( a kKal ~es~dent o( !hro State. 's i~KT'1~:~ CE:KTIF'Y t~at I have no ~ntcntioe W return to m tormcr domx~k, and 1 intend lo rrmam ~n r ' 1 ! c, , r ` _ ~T . ~ UC LE , Countr, - s fGt~l ` F'borids, permanenci, . ~ ~ ~ ~ ~ s ~ 6 ~ ~F~ f § E ~ C " / • k'~: ~ ~ ,i . ) ~ ~ ~ , . I ~ l _ I ~ ~ _ _ ~ ~ ~ . ~ • = , ~ ~ /L lNa~1 ; ~'I I~ ~t~~ ~ T ~,-~l. ~ ~ ~ • , t S~rorn to ~nd subxrif~ed brtoro rt~ thu ~ dar of t~• ` ~ ~ ~ c1- L• ~ .A.n.~9?{~ ~ ~ ~ER PO1TRnS, C~.E~K_OF CIRCUIT COt~tT ~ ~ ST. LUG I E COUNTY, FLOR 1 UA ~ ~ 8Y= . - •j ~94 - . , 256 ~ [P Tr ~[Ax ~ ~ • - _ - ' I > ~