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HomeMy WebLinkAbout0223 D~cl~rai~i~~ o~ i~~r~iicil~ and Citi~~~:~shi~ . ~ . ~ ~ - - ~ ,~l ~ ~ . . . ~ t ror~c~ucoF~cn~currcovKr. 354049 } ST. LUC 1 E CovrrrY. FtAt;w~ . ~ . . , '~1i~ a a~? aec~.~.etoa ot nomkile .na ~iuun~Rip ta w. saco or ~'loeia. uw~ T.m tma~ tl~a aa,~? ~a «eona.nce. .~d ~ eontocai~r ~ritA S~tios'~28.17. ~'Iorid+~ Statuta. . 1 ww t enerl ~ le~al e+nideat oi • ' aod I - ItXy?1 Isew1 - . taided at ~ Ho+v~wr. i Aave dua~ed mr domklls to , 1~'Mt s~d NtrOwl ' ~ a~d sm aod 6ave beea a bau tide resideat o[ t4e State ot Fbrk4 daee ~D _ dy? ol _~~'~%~~=~~.i. i~.~. ~sd I resids at ~ , ~,,~~.u,~ , - _ ST. LUCfE _ ~N~ Coupty.f7ortda. - (cw~ and tAb stat~mea! b to be taicen as nqr dee4rstioa ot eitl~enshtp. ~ctual ksa! residcnee aAd domieIIe ia tM State oi Fiosida. IF POR THE PUR-POSE Of ENROL~tNG IF F'OR HOMESTEAO PURPOSES~ CNiLOREN tN SCH00l~ P~EASE STATE PLEIISE CHECK. ~ THE1R NAMESt . ~ - ; . i - . - . - ~ - ~ ; _ . y. 3 ~ pN'ii , . , , ~ - 0 AECORDRO t - - - - ~~u P~OtY~ItAt ~ ~ ~L~LRK C~CipT 6fiYRT e _ - AEpMO YEltlt'IEO ~ , _ ~ ~ 1 I . ~ _ ~54U~9 ~ ~ ~ ~ ; - ~ 1 ER CERTII~'Y that I wU register at m~ local address ~rlkn the registntioo books nopen. and eampiy nitb all otlier reqt~fretnenb ot a kgal resident ot tUis Sbts. _ . . - ~ n ~ tl~at I have no inteauai to ret~sa to m foraaer domie~7e. aad I intend to remain in ~ , ~ ~~n~T~. ,l D.lsp/ ~T . L U C ~ E - . Countp. ~ i (At~) , _ Florids. pesa~aaentii • . _ _ ~ . ( . . ~U i 1 ~_x'Q''~%, = - ? ~ - - ~ ~ . . V•...,. u~~% . ~b• ~ • . ' i Qi''==y` _ " - ~ ~ ~ . tt~t.s~) .,p ;N ~ ,n: - ; ~1 ; ` - ~ : ~ ~ - y~t ~ ti ` ~ n ,s ~.~j ~ ~ ~ f _ • ~toro ~ eb~, ~ day ot ~ ~ : . A.D.19~. 7 7 AS RK Of CiRGUIT COl~2T ' ST. Ll1G 1 E COUNTY, FIOR l0A • . - ~ . BY: ~,,,c ~r(~r UT Y L E R K ~ R~,~~ PACE " ~ : . ~ . _ _ . _ _ r.___ _ - . . N . - _ _ .