HomeMy WebLinkAbout0511 ~l~C~~i ~~~:~~~1 EIu ~f~~~~~~~~: i~i~l;d ir.~`d;~l:~ ~5~ c~~.1
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TO TlIE CI.EItK OF TI IE CIltCU1T COUItT,
. SY'. LUC 1 E ~pUNTY.-FIARIDA: . 3~~8
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Tbls b mr decluation ot Domlcilo ~nd Cit~on~Aip tn tAo St~te ot Fbrida tfuit I am C~lina thi~ d~y in occosd~eee. and In •
coatormity with Scet~oa "«~.17. Florida Statutes.
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m~ a k6a1 rcaident ot _ _ ,,;~,A .S ~v r~ i ~ . ^ ~ / • ~ • and I .
. ~J ~71 l~•al
~estded at ~ J 7 7n 5,,,~,L~ ~ ~f~,~_ ' - How~v~r. I h~ve ehansed mr domieik to
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u~d un and Aavo beea a bona fide resident ot the State ol Florida atna dq ot
~.01~11_ . ,
-19~.~.~ snd I re~tde at .
ud Nwab.rl
~ e r(' p_ _ ST. LllC 1 E Co~ney. t~'Iorid•.
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~ ~od thia statement is to be taken u my dalaration o! eituen~hip, actual kgd reaidenco aad domic~e ~r? the State oi Florida.
IP POR THE PURPOSE OP ENROLIING If fOR HONESTEAO PURPOSES~
CHIL~REN IN SCHOOL~ PLEASE STATE PLEASE GNECK2
TNE IR N/INESS
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S~.lUC1E COUNT1f flA
ROCER POItRAS
CtfRK C~RCUIT COURT
•~fti~F~ED
APR Zs 8 4~ AN
' 364148
I FURTl1ER CERTIFY thal I will register at my loca) address when the registration booka reopen. and compty with ul!
I othcr tcquircmcnts of a Icgal residcnt oI this Statc.
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I I~'URTI:E;t CEf~(FY thst I have no intcntion to return to my (ormer domicile. and I intcnd to rcrosin in
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~ Sw~orn tu end auh~crilxd I,cfuro ma this (O day oI ~ __T,p I'~ `p
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