HomeMy WebLinkAbout0366 ' Qeclaration of Domicile and Citizenship u~
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ST. lUC i E COUN1'Y. FtARtDA:
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TAb b my declarattoa ot Domleile and Citi~en~ldp ta tM State ot Florid~ tbat I am Win~ tAis da,r ia aoooedanc~. and in
coatotmity witb Sectioa 222.17, F'lorida 3tatuta.
I aa t~ a 1e~tt re~ideat o~ ~E vf Ig V~C 6~ ~ ' N S vJ v R j and I •
lClt71 Is~ W
r~d~d ~t ~ 11~ R Lpp K pR.i V~ H~o+wwe, I haw cbangad aq domkjle to
Istn~t ~i N~s~r) •
.na.m.ha u.,?. bee~, . bo~. rcds e+e~ident ot:Ae sut~ af Flosia. s~ae. _ N o v E M. r3 E re d,, ~
~h V C Nl fl E~> ,19,~. aad I raid~ at ~~o D 1 Sr ~1 VI/~fl y ~
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~ ~T. Pi ~ ~ci , ST. LUG t E~~N~~ ~,ot . ~o~aa.
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' and thjs statemeat ~s t~ be taken a~ a~r deeta~atioa ot cltisseubip. actual legat resideaa and do~ic~e ta the Sea~e ot fbrida.
IP fOR 7NE tURPOSE Of ENROLLIMG Ii iOR MOMESTEAO pURPOSES~
CNI~~REN IN SCNOOL~ PtEASE STATE ~~EASE CHECK: ~
THEIR NAMES:
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~ ~ FIlEO AND RECOROEO
ST. LuC1E COUNTr F~~.
ROCER POITRAS
CIERK CI~CUIT COURT
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MAY 16 9 a~ aH'7T
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I FUEiTHER CERTIFY that I~r~71 register at mr loeal addresa ~rhan the registrstioa booics reopen~ aad ooiaply ~vith all
otl~r requiretnents ot s legal resident ot thu State. -
I FURTHE~ CERTIF'Y thst I have ao inttntion to retnrn to mr former domiaye. and I intend to reauin in
' u r i u c Q„ $ T~ L U C! E . Gouniy,
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Fiorida. permanenct; .
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Swo~t~a'~~ ~b~ bctoro ma thi~ day of
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ROGER P01 TRAS,, ~CLERK OF C IRCUI T COUF2T
St. LUC I E COUNTY, FI.OR 1 UA •
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~PUrY LERK
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600K ~GE e~.~~
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