HomeMy WebLinkAbout0249 - D~clara~i~~ ~~r~i~i~~ and C~~i~~:~shi~ ~
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TO THS CL.EIiK OF TA~ CIRCtJIT OOUAT. . M .
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. ?lib M ayr deelantioa al Dondeta aAd Cil~cassip !u tM State ot Fforida tbat I am ~ tbis dyr ia acoadaaos. aeid i~ -
oodonat~ ~ith Settioa 2?2.1T. Florida Ststdta.
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asd sm aad lu~e beea a boaa tid~ sesid~at of tM State aI t~'locida stace ~A N y 7~
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~ Ii i0R THE PURPOSE Oi ENROLLiNG Ii POR HONESTEAO PURPOSES~
CNIL~REN 1N sCH00~~ PLEASE STA~E ?I.EASE CHECKZ
TNEIR NANES2
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I FLJR1'HEA CERT[F'Y thst I~rU tegister at nUr loeal address whtn tbe registratiou books t~eopen. aad ~ompb? ~vith all i
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~ I FURTtiE~ CERTIFY thtt luve ao lntcnti~ to return to m~r taraKr domieib. aod I intead to rem~in in ;
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Swosa to and subscrtbed bctore ene this ~ dar ot ~/O ~L ~ T2 u~ ~~1/II~. ~
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A.D.19~ ~ 7 /
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R AS C RK OF' C IRCUI T COU2T ~
ST. l UC I E COUNTY, f LOR 1 DA •
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