HomeMy WebLinkAbout0834 1 ration of Domicile and Citizenshi ~
Dec a p ~
assaso
~~«.~o~n~~~~~. .
ST. LUC 1 E _ap~. p~ptup~
T~I. d my d~elW.eioa ot nonikiM .ad cat~.a.wy h ui. 84a~..t i~'~eid. twc t aa~ til~ thi. d.,~i i~ .aore.~e.. .~d a
a~tormiyr witQ S~etio~ 2~.1t. ~'lo~ida St~tntN. ~ ' .
Y
t MrY t nir a 1~1 r~sidMt o~ ~i /~t~/ - ~d I
I~tMd
s~d at ~~D/~~~ - How+wr. I Mw eha~ed m,y daa~iejM to
~SuNt.r NwM~I
a~d aa~ A~w ~sn a boaa t~d~ »sid~ut ottM Stat~ of E'keida ~ iy ot
aed I er~id~ ~t ~s .
t~t a~/ N~1
ST. LtJC 1 E ~r.
~
a~ tl~is ~tat~nMat is eo b~ t~i~ ss aqr d~elae.tio~ ar ~en~bip. aetu~t M~al ~~sd d~omidi~ 6~ tl» 8tae~ ot ~'laids. ,
~
Ir i0R TME ~uR?OS[ Oi ENROl~1NG I? rOR MOM[STRA~ 'UR~OSES~
CMI~OREN IN SCM00~~ ~~EASE STATE 'L~A~[ CMECKS
TML IR NAMESS ~ ~ ~ .
Gr~.~..._. ~
FE° z~ ~ ~i ~ _ . .
358360
I FUBTHEK CERTIFY thst t~riit re~ister u an bai aade~ M~s !1~ re~sttsi3oa boo~cs reopea, sad co~g~jr with ~II
otwr tsquir+emeats ot a kpt eeaid~at oI tlw Stat~.
I b~w latrutbs to ntu~ to toeuner domie~. aad I iat~ad to_ rsmaio 1a
u
T_ Lut~¢
. -
~'lo~ida. peraaaneacl,'•
°'r
i ~ ~ y~~ ,
i -
- ~.i~ .
~ . ' • v ~ l ~ ` ~ c> p ~
. _ ~ , l b ~e i-~
. ,
~ .
; - ~ . n
. .
•o:
f ~ ? ~ 1 s' ` •
1 y . • ' ~ '
I • , • ~ 01 ~ ~
. ~
~3~~
Swora to sad subxribed beiore ~ tAia d~r oi . ~
A.D.19J7 - ~ ~
~
ROGER P01 TRAS. CLERK Of C IRCUI T C4UtT
i
sr. ~ uc i E couNrir, ~ ~oR ,.uo? ~
,
l er: /3 .
i
i EPUTY E11K
• F ;C ! (.,~JY ~~f C7V~i
~ ~ AI:I?1'w ~ f 1 '7