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HomeMy WebLinkAbout0718 Decl~rati~on of Domicile ~nd: Citrzensn~p ~ ~ . . ~ ~ ~ . . _ ~ ~ ~ . ~ . ~ : . ~ . ~ ~ ~ . : ~ ~ ~ TO TtiB Ct,EItK OF Tt1E CIRCUIT COURT. - . . . . . . ~ .~..ST. L UC,_ 1; COUN1'~r. trLOR1DAt - . . - . , ~ • . • ~ Thts u m~r deeluattoa ot Domkile aad Citisea~Aip ia tlie Stats ot Florida tbat I un filinr thts dyr in accu:~durce, and ia coatora~iy witA Section 222.iT. Florid~ Statutes. . I~ra~ to~ a kaal raaideac ot _~On/~s,~_ ~/L1Ei~i~t..,~. aad I • . y~ ,r~ tCly1 t8tat.,1 - raia.d.e _/`_-1XJG~o CJ~ ut.~../ .~L~ - Ho~rev.r. T b.r~. eb.agea,q~? a«nieik b l8wK ~sd Nw~eK? • • . ~ N1t tlld TI~Vf ~A i bOAa G~ ~QfIL O~ ~AO S~~O OI FIO~a i~R!! _ o~~T . day o~ - 19~.. ~od I raide at ob7 ~•~+2.C'~~D ~i~~ /~T. T. G~.. ta~..~..aN~ S c.-r~ ST. lUG t E . Count,~?. t'torida. ICWI ~ and tbb statement is to Se takea ~s apr dcelara~on oi cittseaabip. actud kgal nsidenee and doa~iciia ta tbe Stste oi Florida. , . € . Ii fOR THE PURPOSE OF ENRpLl1NG IP i0R NOMEStEA~ Pt1RPOSES~ CNILbREN 1N SCHOOL~ PLEASf STATE P~EASE CHECKS ,THEIR NAMESt , " `L:~-:'~~ . ~~1 /,S„ : ~f~ ~~S' ~ - j . • . ~ • - ~°Pil~z2~c•~'•~S' s . ~ RIt CoYllt ~ ~~i ~!/l! /r~ ~ • 9 YERi~lEO..",~ ~ ~ - - ~ r~.r~r.~~~n~r ~ _ ~ vi 32 . ~ ' ~ 3`~599 :s - -Q ~ I FURTHER CERTIF'Y thst I w~11 register at my local addnss ~rhen t1~e registration books nopen. and compUr with all otber requiremcnts of ;1cga1 resideat ot this State. ~ . i ~~E'Y~ ~no initntion to retarn to my tormrr domieite. and I iatcnd to renu~ia ia $r . L u c ~ e . Couney, . . - . Florida. penaaneati;. - ,yw.a~.:~: ~ 7y ;3 . ...rT":i~~~~ ~ . ~ ~ . . . ~ : ~.'~~"~.f ~ ~ , . ~ • • I ; ~s . ._ct ~ ~,~~~x ~ ~ ~i i• > r . 3 . h "r ' ~ . - ,•e~~ ~r~.~ . •f ~i~~g~ ~ ~ ? ~ ~ 6~a~s / : ~ ~ -~~~5~ ; r ~ . : A : ~ > • ' , - , ' ; ~ ;r~ ti ~ ~Tiel c/~9 asi-y `~p ~ ~ ~ - . ~ { v'~.~f~~~« ~ R 1 ' . ~ f~ + ~ 'py . sf!~ 1 ; . ,,f~'i:a+''~i~'+•=-_ ~~y~jk;- ~ ~ ~ : , _ ('0'7 /'i~/CL~/Op O e%GC~ ~ , . ~ U1ddr.al ~ Sworn t and suhscribed before me tht~ a,y at S T. L~~~• . . A.D.19,2..T_,,, _ G R P AS CLERK OF C RCUI T COUTT ST. lUG 1 E COUNTY, F~OR i dA • - ~ . eY: $ . . . ~ , ePUtY ~e : ~ • ~ . • ~ ~ . , . . . ~ _ . ACa P~ 7t•~7t . ~ ~ . _ t _i`-: ~.-r.ri', i..x.r, ~.s . • ~':,`r s. ~ , _ , , , ~