HomeMy WebLinkAbout0249 V~CIc~Patt0~1 oT Vi~~IC~~~ ana ~~~~i~~ ~~W
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TO TIIE CI.ERK 0~ Tt1E CIRCUiT COUItT. ' . ~ , ~ ~ ~ ~ . .
ST. LUC 1 E ppUNTY. Ft,ptupA: -
. lAts L my dselsration ot Domk~a and C~tisonahip ia tla State ot Fbrida ibat I am fiUar tbis dy? in ~ecoalanee. and in
~oatotaniy? witA Sectioa 222.17. Florida Sbtutes.
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I ~ras ~ k~l resideat ot C R~'h•!~ ~,n~ ~ ~ on. nR; _ _
~ ~yr! teuNl
t~estded st Harovet. t have eb~aged aqr domie~c to
{StrNt ud Nrol~rl ^ •
and ua u~d lu~~re beea boaa i'ede reaidcnt otthe State ot F`brida siaos ~^1~.1`.,.: /7_' ~ s dq? ot
19_~ and I restde at l 1~~e~Q~~.r~~ .
~ ~ 18hwt N.nb.rl
. •'~!~~,(`Q ~ j~(~,~ ST. LUG i E Couney. F'torid..
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~ u~d thts statcmen! i~ to be talcea as m~r daluatioa of dtiunship. aetual kgal resldeaco and domieile ia the State ot Fforida.
If POR TNE PURPOSE Of ENROILiNG IP fOR HONESTEA~ PURPOSES~
6H i~OREN. i N SCHOOL~ PL£ASE STATE PLE/lSE CHECKS ~
TH IR NANESZ - ~
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I FLtIiTHER CEItT1FY that I will register at my local addresa when tAc rcgistration books reopcn. and eomply with all
other rcquirements o[ a kgal resident ot this Slate.
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I FURTIIE~ C~'IFY that I hav no intenlion to return to my torn~cr domieile. and I inlend to remain in
1 o D~ , ST . L U C 1 E _ County.
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Sworn to and subscril?ed bcloro mo thi~ ~ d,?r o[
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~tOGER 0{ TRAS,~ CLERK OF C{RCUI T COUtT
ST. LUG I E COUNTY, f LOR t UA ~ ~ -
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' CI'UTY I.~RKQ R~~
~ ~ ~~oK25~ PAGE 249 , . .
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