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HomeMy WebLinkAbout0354 . _ _ . _ - . _ _ _ - . _ . - - - . .c . . _ . } ' Declaration of Domicile and Citiz~nship . . ~ ~ . ~ ~ ~ 3'~''6334 ! ~ i OF THE CIRCUI? OOUAT. ~ # TOTHE CL.ERK _ i ST_ lUG 1 E OOt)N'1'Y.1~'LOAIDl~ . : . i ~ TAb b aUr d~daratbo ot Domicl{e asd Citiuashtp ta tM $tate ot Flo~id~ tbat I~a i~ Mis dyr ia sooadaaa. aad ta ! eoafarmitt ~rith Seetioa 2sZ.1T. I~'Ioeida Statut~s. ' j ' ~t~~~'C.tJ ~ - ' aad T ' • ~ I ~ns t~ s lesa! ew~dant ot ~ . ~ tClqrl + iesWed at.. ~•3_ ~~~_~-°~_/~7_'yG Howrne.I l~w ehanjsd aq? dan~e~e to • {et*.K~adN~a~OKI ~f ' aad am aad 6aw beea a boas fd~ etisida~t ~ ebe $tate ot t7ocid~ siaov .=...r `3 " 7~ - 3 .10__L.. snd 1 ewWe at ~ O~ /VP ~ ~ ~~,~c _ ST. lUG 1 E Couot~?. Flodaa . _1`. a.C ~ - . tav~ - ' aad thb statemeat i~ ~o b~ takea a m~? deelantiou ot dtheaship. ~ctu~l le~ai res~deoee aud doaaieile in t6s Stat~ oi Floeida. If iOR 7HE JPURPOSE OP ENROLLINIi If i0R HOMESTEAO PURPOSESi CHI~OREN IN StMOOI~ PLEASE STATE PLEASE CHECK! ~ THE IR N/IMESt• . - ~ Lo~~r~'.~ - o se,9,de ~ - _ . / Cj~i~P~ST.,~•~ ct~RK ~1~C~Iro T CQ RT ~ediP~9 ~ ,'^~.F^ :?t~~FiED /~!t - S - AUr 1~ I S4 PN'17 ~ / 7•q'~ , 3~7'533~# I FURTHER CERTII~'Y that I~1 ngistee~ at mr bcai addresa w6ep tle~ registrat~a books reopca. sad eomplr ~ritb sll _ O~Ct lCQ11jY~EIDCAC3 OE ~ ICg~I leStdtAt OI LAL1 aS~tC. ; ~ J ~ C~E~A~~Y~, thst I luve ao iatention to retusn , to m toraur domia'le. and I~ntend ta *emsin in 'HE _ s D~T /~~~~c_ ~T . L u c!e - Co~cy, ~ • . . ' ~ Florida. Penuaaeatt; . . ~ _ : - ~ - . j•` . . - . , ~ - ~ ~ L~ ~~N~~~ ~ . . F~ r " - ~,/1••• ~ ~ • .1 ~ ' i~~'•;'` ~ G~'~G ,_~y , - . . `t ~ . :1~ . .~r ~ ~ 1 v'~ i . . a ~y • ~ ~ ~ ~s`.~4 'l~r.s~~. ~ ' : ti s~. • #~!'?.i~..~ G' ~ ~ 4~ • ; s~~ ~ • ~ ~ _ . _ ~ . .1 ~ ~~~,``~~"~rj~~i'~~;= - . . . - • • ~.'X ••srt . ~ ~~/~'V ~ f~ ~ . :a ~r • v ~~~L• ~ . ~2.~ ~ •.sa.siYa~' ~ . . : - oZS^D ~ u/ SMOrn to and wbscrlbc+d bctore a~o tl~ts _i~...L~ ds3? ot ' ~ CG • - _ A.D.19~. . 'R~cFR F'Q~,IRA , CLERK dF C IRGUI T COI~tT - ST. IUGiE COUNTY, fLOR1UA • - . ~ _ . BYs ~ . ~ - EPUTY l K n • . . • ~ OR . - e~ ~r ~ V ~ 3~ Af.~ ~ctm l l µ