HomeMy WebLinkAbout0513 . . .
' . ' ` . nd Gitizenshi . .
Declaration of Dar~oc~le a p
.
. ~ . ~ ~ ~
~ ~~~oF~~~~. . ~ ~s~so
~
ST. L UG 1 E OOVl~rrY. FLORm~ .
~ '1'his b eq~r deelacatioa ot Domktle aad (~theasl~ip in tb~ Stat~ ot Fio~ida tbat I un Glia~ tbb dyr L? aooo~dana. sad ia
eoatoe~aity witb Sattion 222.1T. Fio:ida Statute~.
I~ras i~ a k6al reaideat o~ ~~A~L~; - n~.~ s aad i .
ICIV1 18taW
»~ided a! - - 8o+rw~r. I I~aw eban6sd aq? doedid3e eo ,
. iSetMt aa~ N~DwI '
aed am and Aaw b~ea a bons Gdt t~a~dtat ot the Stat~ o[ Fiorida sisa ~ ~'7 ~ .
~~zz.~ ~ ~ l
- ,sa,.~..d~e.~
, , ; ST. LUG 1 E ~„~y.
tcw~ ~
~ aad this stateinent is !o be Wcea as mr dezlantion ot dttaenship. actusl kgal raideaee and do~aie~e ia tbe State ot Flo~ida.
Ii FOR THE PURPOSE OP ENRO~~iNC. If FOR MOMESTEAO PURPOSES~
CNIICREN iN SCHOO~~ PLEASE STATE r~EASE CHECK: ~
THEtR NAMESS -
.
' ~ER POi~itAs
CIERII CtRCWT COURT
- _ - ~_•,.r.~ V~PtP1E0
No~ 1~{ 2 22 PM'1~
- 384~60 ~ ~
' I FUltTHBR CERTIFY that I~n71 register at m~ tocal addresa whea tbe registration books reopen. aad oomplr ~rit6 all
otber requiremenu ot a kgal resideat of thu State. _
F(TR1`fiE CERTIFY th:t I have ao iateation to nturn to my iw~nner domie~e. aad I intend to remain ia
~ 5~ ~c ;c~ _ ST . l.. U C 1 E - County. -
~ ~ (pt~) . ' -
Fbcida. permanendj.
. . - .
. • ~ :
. y M'• .
.
~ - ~ . s%• . -
~ l
_ . ~ ~ • ~ _ _ .
• i i~e t
. • i~ . .
' . . ~ ~ - . ' ~
~ . , '
• ~ . Y . ~ v~ ,~fr .
~ . • V~~"~ • , /l ~Q \ Sl~ .
'
"'~~T
/ ~~a~~
_/~f~ c~c~/ab Larr~
~/?d+r.al
Sworn to a~ ss~bscribed bctore me this ___L:..~-- d~r o~ ~ ° ~ f s~. L ~ c.~, F~
~ ~ ' - - A.D.19~7 - .
ROuER P01 TRAS~ CLERK OF C IRGUI T COUtT .
ST. LUGIE COUNTY, fLOR1UA • '
. .
BY: c~ -
~ ~ P ut Y ~ E ~ K 800x ~ ~
. . ,
_ ~
- A~0 Porm 71 22