HomeMy WebLinkAbout0633 y k~~~:~~ra~~c~~~ o~ f~c~rr~ica~c: at~c~ i~~Qiz~r~sr~~~ ~
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TO TlIE Ci.fRK OF TUE CIRCUlT COURT.
ST. L UC I E ~pu~y. ~,pn~o~:
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'PbI~ b my deelar~tioA ot Domtcik ~nd Cit~on~hip ln the Stato ot F'{orid~ th~t i am filia~ tht~ day in aceord~nce~ and in •
toato~nity witA Scction ~.lT. Flo~id~ Sbtutea.
~ I was Iorm~rlY a legal resident of .,I~' D ~ ~ ~ ~ ~ ~ ~ ~nJ I .
. It~yf lStat~!
~tslded at ~ /P• D• _ Ho~wrsr, i Aave changed mr domicik to
lSerr~t ~n0 N~o0.r1 •
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aad am ~od hav~ 6een a bona Gde reaidcnt of tAe State at Fbrida aince ~ day ot ~
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~9_.___. and i re~tde ac l ~1~ 1~ - Z;
IStnM ~ad N~a~l
~ ~ ~ E c ~ • : ~ y[_,- ST . lUG 1 E co~,aer. ~o~;e., ~
lCuil
~ and t6ia atatemcat is to bo takea u mr dectaration ot ciliumbip. actual kgal reaidence and domie~e in the Stalo oI F'lorida.
IP POR 7NE PURPOSE Oi' ENROL~ING ~P iOR NONESTEAD PURPOSES~
CHILOREN IN SCHOOL~ PLEASE STATE . p~EASE CHECKS ~
THEIR NAMES:
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~ c%vR ~S'~~ TvS ~ ~
~'~"'"~f~. `
+ AOCER t01TRA5 ~
~'.[~K G'RCUIT COUR'
_ _:F,~^
aP~ zs ~2 3~ PM
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l FURTIIF.R CERTIFY that I witl rc~ister at mr local addres~ whcn the :cgistration l,oolcs reopco. aad comply with all
othct rcquircmcnts of a IcFal resident ot this Ststc.
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I FURTfIE:t CEItTIFY th:t 1 h~ve no intcntion to~rcturn to mr former do~nicile. and I intcnd to rcmain in ~
' ST U C 1 E _ County. ~
tCit~) . .
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Fbrida. pcrm:?ncnti~ .
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' Sw•orn to end ~u~ncril,ed I.c(uro mc tA;~ 2~ dAy ot ,~l ' ~~'F .~3___.,._ys
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, A.D.19.7 ~ i
~ R__,~R 'OI RAS C~E=ftK C~F' GIRCUIT CUU2T ~ ~
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s ST. lUG I E COUN7Y, Fl_0!t 1 UA • ~
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CPtITY LftK~~
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