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HomeMy WebLinkAbout0769 . , Declaration ai Dor~nicile and Citiz~nship ~ . . ~ • i ~ • - i 1~01N!'i CL~K OR'~NEi ~`1I11' OOUICI'~ ~ ~ ST. LUC 1 E ~p~p~ Ti~ d a~y d~et~ration o~ Do~kiM aad t~tta~i~iP i~ tM ~ ~f ~lorids t?at 1 a~ liYu~ tw dyr 1~ ~ceo~d~~. Md a e~~e~r witM 5eetlo~ 2Z3.17. Florida St~t~tM. • I wn f n~~ ~ kpi t~~M~t af tClt~? ~ ad t e~d ~t ~ ~wr. t Maw dw~d ~ doa~ieiM to ~ ~ ~d w aod b~w be~s i boy tids e~e~W~at af tM 8tat~ etFkrWa ~ ~i~,~r at ~ ~ ~ ~ . 1l.,,1.!¢,...~a ~,+aid..e IMe~ ~M ST. tUC 1 E - ~r. p~,~ . taq?? a~d tld~ rea~t fs t,o b~ t~ic~s as a~? d~e~aratlo~ of dtbo~. ~eteat N~at e~WMe~ aad domiejM ja U~ &~M~ ~ Fk~iaa. IR ~OR TME ~UR'OSE Ol ENIIOL~lNO IF •OA MOMESTEAO ~URNOSES~ 6M1 ~OREN 1 N SCM001.~ 1~~EAS[ ST11TE I~LLA~E CMECKS ~ TMifR NAMESt a~a~v~i:7.~ ~i- - . ~ # ~ 1 . t ~ u~ . = ~S . ~ _ 3 ~ . ~ ~ ~ Y~ i FUItTHER CERTIF7~ that I w~il re~dee st mr loa! adde~ wMn th~ r~istratioa boo~k~ e~eopeA. aod coavp~jr ~ alt atMe r~qnirea~eats oi a ie~a! resid~at d tl~ia Stat~. I FU~THE.3 CERTtFY tbat 1 bsw eo laceatbn to ertura to m ioenree doa~ie~'is. aad i fn~d ts remais bo ' ~T. LUC 1 E - IC1y! . Florids. peem~aea~i;. - ~ • • r ~ • ~i ~i~'<~i'~'1'C.~~ ` . - •f + . ~ • . : ~ ~ • - . . !J ~ t~/ ~.,/L~Y M,~. j~t~~ - ~ ' Sworo to aad sub~tn'b~d betoro me thts day o~ ~~Jr ,~.~OLI ~~CL/ztE?.~ . ~C"= ~ . A.D.1917 . ~ER P01 TRA~. CLERK Of C tRCUI T COI~tT ST. LUC 1 E COUNTY, f LOR t UA • _ 8Y: rvtY LERK • ~ 1G~l~ ~iE ~ Ali1?tw~w rl "y - _