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HomeMy WebLinkAbout0845 Declaration of Domicile and Citizenship . ~sa3'yo ~~«,~o~~~~~. ~ ST. LUC 1 E apu~. ~o~~ . 'tM. r w~r a.d.r.tio~ ot naaicia .aa au~aMip f~ eA. stat. ot Fi«~w. tMst t.. t~ t1ii. d.~? a.e~a~d.,~c+...a~ I~ eNkraiit,p ~It~ S~etio~ lt~ F'torid~ Sta?~. . ~ t wr f e~ ~ M~i e~ideat et .~~/t•C~ ~ ad 1 - • IWl 1~1~ttl e~id~d at..~ r ~'G _ - Howwrt. t Maw el~i m~ doaikiN te ~s~..~..~N~ a~d n~ ~sd Aaw be~a a boea tid~ hsidtMo[tb~ Stat~ 01 ~'loeid~ ~a Fi fteenth ~ of FAbsvs7r~? lf 5;, a~d I raid~ at •t 1 ~ 7 J wsin~ ~•~n~a - ~ lah..t ~ Nr.b~ti l~ort Piera~ ST, ll1G 1 E ~y, taa~ aed tiiis ~at~at ts to ~ takM s~ aUr d~d~ntio~ at dtiu~Aip, aetuat Msal ~a asd do~aieiM L~ tM &ab ~ Floeids. If ?OR TME 'UR~OSE Oi ENROL~ING- I/ /OR NOMESTEAO 'UR~OSES~ CMI~~REN IN SCMOOL~ *LEASE sTATE ,'t~A3t tMECK:.- ~ T M E 1 R N A ME S S 3`~~i~~ ~ 0 , ~ ~ ~ilAt _ fEe t~ 2 ~ ~ . . . P~! ~r i Ftl~rx~R C~~r cbae t~.~t r~esu~e~r ac ,nr ~oc.~ aaae~.s. we.a eh. e~sesac~o4 bo~otcs r.op.a, apa eompyr .m~ an ot~t nqute+ements al a ksa! resid~ot ol tbis seat~. . j F'~Lt~~ C~`~`Y that I bar~ uo iat~ntba to r~tnrs t,o aa~r toe~a~et doade~. atd I iat~nd ts temaia in 7'• 9 ; ST . L UC 1 E . Couotr. 1t:it7) . - : - ~'locida, persnanentl; . 4 ! t. F I, f ~ . ? ~ ~ ~ - ' ? ~ ~ ~ ' Q,..~-- ~ t C ~ , ~esar...? Sworn to and wbsetibed be(ore tae this a 3 ~r ~t 3 3 y S~ ~ A.D.19.J ~ - ~ : 4 .'~~i;, R~ ' RK OF C IRCUI T COl~2T : . li S~, ~iJ~'i1r COt~t~r_ f I.OR 1 UA ~ ~ - , :c~_ • ~ 0'tfU i_ . ' ~v : ~ ~ ~ . ~ ~ : EP TY ~ERK .1/,r _1 .!~~~NN~~~ V • , ~ s ~ , y•. i "'~'r~..~is~n• _ . q E:°~ , ' s - ~ ~ -