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HomeMy WebLinkAbout0351 ~ ._..F . . _ . . . . . . H . ! peclaration of Domicile and Citiz~nship ~ ` . 'fi . ~ ~ _ ~ ~ , ~ ~~~o~~~~~~. _ , ~~s~i . ~ ~ ~ ST, LUC i E OOt1NTY. t'~ORt~As ~ _ # . . • ~ • ~ . . ~ ?~N i~ aqr deelaratbs ot Domkil~ ~nd Cili~m:hip k tIN Stat~ ot ~'Io~Wa ebat I un ~ tl~is dy ia ~oooe+daoes~ ~nd ia . ~oataraaiW rritA S~etio4 2~.1T. I~'locida 8t~tut~s. ~ ~ . ~ I wa me 1 a Mral res~deat ot _....:~~'~A~~ 0' aAd I . . iCly?~ - tSeM''1 - 1 asided at = ~ . ~,1r~ ~~i. - How~w~.I l~aw ebonpd an~r doaaie~e !,o - f~taiN~r! , • ' ~ and aa~ sad 6ars b4ea a boas [hb resldeut o~ the Stat~ ~I F7o~id~ slna daj? ot . - ~.~2~'_.~_._....19~.~.. wd I r~ at - .~_~___.~~~1.~~ ~ ` a~ ~ 'FZ, p? n~ ST. LUC 1~..e ~ . Cauocy; Ftorida. i~1V1 ~ ' and th~s statemeat is ~o bs takea as oq~r declssstion o~ eit~ens~. actuat ieaat raidenee snd doaeciie fa tLe State ot Florida. If fOR TH~ rURPOSE Oi ENROIIlN.G ~ Ii FOR HOMESTEAO PURPOS~S~ . CNItDREN iN SCli00L~ PtEASE STATE ?LEASE CHECK: ' ~ TNEIR NAME$S - . , . . ` ~ ~ ~ ~ ~L _ Ct ERK CiR~pi~~Rt - c ~c v aEV~Fa _ _ Auc 1~1 1 ns PM'T1 . ~ . - 3~~~ I FURTNEB CERTIF'Y that I wi11 register at mp bcal s~dress wbeu tbe registration booics reopca. and oompir witb alt OLbl1' !lQ111TlfOEI1[! Ot ~ ICQiI tlStdtAt O~ LI?L1 S~t~E. ' - I FURTHEZ CERTIFY thst I have no ~atiaa ta retnrn to m formcr do~uia'le. and i intend to nmaia in u _~t . L u c ~ E Councy. tCW) . . - Fbrids, permanenc~;. ~ . r .r. _ _ i~,~ .:.t i+a ,~'~'d~~~^ - ~ q a+~ ' . ~;4- .S _ ci. t~`,}j~~ 'Xl°~ /~T i.~ - . ~ ~=i • _ ~ a.: • • • ~ ~ ~.e~,~ ~ ~1 • ' f ~ ~ n. , Q;~~- ~ ~ . ~ , 1a. r ~A ' . • : ~ 1g..~~~~ ~:~t; + - ~T • ~i~~'~Y`~ ~ ~ ~fr V ~ ~ • \i . . ~ ~i~ ~~~~~L • ' .ntNt~~ - M~[M~~ Sworn to and sabxribed balore a~s thls d~y ot ~ . A.D.19,.~.,, ~ . ' R AS R OF' G R UI T LOUtT ST. LUG1E COUNTY, fLORiUA ~ - ' gY: ~ ~ ~ ~ ~ ~ - _ EPUTY LERK 600K~r~t p~ ~3 . , . ~ Af:n r...m ~ :