HomeMy WebLinkAbout0074 - . _ ; . _ . • . _ ~
Declarat~on of Dam~c~de and C~t~z~~nsh~p ~
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7~b b a~? dee~aeauon ot Do~n~c~e aa,+a C~c~c~s~ t~ tb. sace ot Ffocja. eba~ i am t~ u~ aa,~? ta aa«aancs. .na tn
~oatae~a~? ~ Seetloa 228.1T. ~'lodda Statuta. _ .
I w~s me~ - a kpl c~sideat ot ~l~zQ~_~
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S'~'o c. o 0~4 D - How~r~r.I Aaw ehaaged aqr domieas to
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aad am ud b~w beea a boaa tld~ resideot aI the Stste ot ~7o~id~ staos ds~ al ~
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E C 19~, aod I restd~ at f 1 1"1 A u TA ?'i'L _
~ ~e ~ ~ • ~ . l8eiwe a~d Nrmberl
N. c-~ e. ~ ST. LUG 1 E ' Councy. Florida.
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asd'thts ststemept ~t to be taken u aq ~elantbn ot dt~eaship. aetnal kgat e+estdcnee aed domicik iA tbe State ot I~'torida.
- If fOR THE PURPOSE Oi-ENROLI.tNG IP fOR HOMESTEAO PURPOSESi
CHiI~REN IN SCHOOL~ PLEASE sTAtE PLEIISE CHECKS ~
THEIR~ NAMESS ~ _
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n~.EO ~K Ec ~ota
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' . CLEMt C11lCUis Co11Rt i .
- - ~ YERIilEO
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I FURTHER CERTtF'Y that I w?~1 registet at my loeal sddress wben ibe ngistntion books reopen. and complp witA all ~
~ other requirea?eats oi a kgal resident ot this State.
~ I FURTNER CEATIF'Y thst
~ bave ra iatcatioa to nturn to m former dbtnieile. and I iwtead to nmaia ia
~ • - T. L u c ~ E . County, ~
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~ F{orida, petn~aneatl,•. - ;
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sMOrn to.ea:ubxribea betore me ehb ~~z_. d.y ot ~0. u~~.~ .
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R A~ C RK Of CIRCU T COU2T
sT. ~~ciE couNnr, FLOR~on • ~
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BY: ~ . . ;
EPUTY ~ERK ~O~ ~ACE ,
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