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HomeMy WebLinkAbout0267 _ _ ~ ~ . . . _ _ - - ~ . . ..y _ . . . . - • ~ - - - - ~ ~ ' Declaration of Domicile and Citiz~nship ~ ~ . . ~ ~ . . ~ - ~ ~sxro ~ - i TO THS CL6RK OF TH~ CiRCU1T OOVA?. ' ~ - ~ ~._~T~„UG i E,.._._._,DOVt~TY. FLOttwAs ' i ~ . , , . • , ; TUb h mp diet~ration ot OomieiM and Ct~ea~hip ia tiw St~ o~ i~'ieeid~ ti~at I am ~ N+f~ dy? iu aooe~dsaa. a~d tu ~oatocwit~ with Saetiou 2~.~7. F'loejda &at~ta. ~ ~ M ~ i I ws fo~ ~ 1Ka1 t~sideut ~_.i.L,t'~~. aad I `~sl ;+~dd~d at 1+~. ~~._,LJ,L~.s~.~.W ao d,,,,, i.. ~'1'~ - Hanr~. I 6aw e1~pd Aqp domici{e t~o ~ , pkeNts~dN~ot~1 • wd ~m sad 1~+?w been a boa? Gde raid~t tl~e 3tatR ot Fiocidt ~ines ~a, ~.~7 .L ~ da~r o[ ' - .,.g a ~~.er..~o~ ~ Q; 6~ ~ S'~ • 1:.,,Sb,S~.~,~„~,_ ST. ~UG 1~..~H..a~ ~ ~ , :r. ~a~. ~ . ' aad tbia statcanent b to be takea ss mjr dedaratioo ot dt~ip. aetna! Ie~l t+e~deAes ~d docaielle in t1~e 8t~te ot I~'~odda. _ ~ Ie e~s *u~. p,~q,~~~~_ e~ Et~RO«lNe - I.i ~'OR_ HOMESTEAO PUiiPOSES~ - CH{LOREN IN SCHQ01.~ l~~E/1SE ST/1TE PLEIISE tHECKt ~ a. Y NE 1 R N A ME,~ i: _ ~ ~py~_~` . ~ ~ - ~ - . "~."=iY'.~wTT~.. `~M ~ ' ~ - • ~ - . - . • - ~ - - c«~,c c~~cwr~,P ~cc~~'t ~ERtF~EQ ~ ~ Auc t~l 8 3~ AM'7t a~+s~ro - I F`ITRTHER CERTIFY tbst i will registet at mJ iocsi address ~?hep N~e registration boaks reopea: sad compl)? w?~th ill aRl~er requiremer?ts oI a legai ersident ot tbis State. . I ~r t I tuve po biteatioa to retasn to lotmer domiele. sad I ialend to reu~ia ~n ~o~fi!t ~v`C~~ ~ ~T. Luc~e - , tpv~ . - , - ~ty. Fbrids. peraoaneoci;. _ . ~ st~' s X - r-. ~ r~ s . ~ 1- - ~c~ay'~~~'y .~~}r~~.~,y lr'~ ~~~y, y': ,~Yl; .~y . . ~ ~ ~..'a~V •.4 ` •~'i : } t.~` . ' • ~ ~ ~ , ,y.. J r _ ' - 4)r y ~fj';rs ~ y~' _ ~ ' Y~i~ • r ~ :~S ~ ~ ~ ~ _ ! ~ "f ~ et :h ~n ~ v2~+ ' t ? L .ll'~ . v' ~z~.'#- .OtJ - ~ ~S~' _ _ !i~ ~ ~ . ~ ~a,L . ar f • . " ~ • , ~ ~ i' 1 ~sy"`~ t!i ~ j i . i ~l ,t~ ~ ~Q ~ss'~' : ~ . z_~,.`,~~-~ _ -•~.~~~~.~~l~ ~ k . A~i~'a . 3;. - ` : ; + _ ~ ulid~++~1 Sworn baad suburibed belots me tAis ~'d dyr of , Yr~ (~t •~t~~y4 ~..,..r._._, - . - ~ A.D.18 77~ - R~ A RK CIRCUIT COt~iT - sr. ~uc~~ couN~r, F~oR~uA ~ • ~ ~ ~ 8Y: ~ ~ UTY LERK . . . . . _ . - ~~ir ! V~~ +i+v`~' . ACU Fc~tt: 9i.'~ -