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HomeMy WebLinkAbout0910 , . . . . ~ . . . . . . ~ - . , . . . . ~ . . . ~ ; ~ ~ . Declaration of Domicile and Citizenship - , ' f . ~ . ~ 1: . ~ ~ • - 3$4`75~~ . ~ ~ . ~ 1 . . r TO TNS CL.BRR OF THE CIRCUIT COUAT. _ ~ j ST. LUC ! E ~ _ ___._~.QOt1NTY. FIA~tI4~ . • . - ~ -a . ~b b m~r declsratba ot Daakile aad (Ytt~aship ta tM Stat~ ol Flo~id~ tha! I a~n flto~ tbts dy? L~ aooo~d~no~. aa~ in eoatoaait~? ~rith Settioa 22Z.1T, F'~orida S4tuta. ~ ~j~~/ . I ~ra~ f~ a k6a1 e+esideat oi ~~,Q~. ~ ._..^~.P.-.,i sad I ICIt,~1 IstaW e+~sid~d at f~,1s( ~~n ~ - Ho~r~t. I haw ei~an~d aqr doodid{e to aad am aad bare bNp a baaa td~ traldeat ottM Stat~ otFlo~ida siaa~ ~u da,p ot - ' . i~.~ aad ! ratd~ at .11.~ 1, ~y ~.ZT . ~ Iatn~t~dl~tMMef - Q4; . ST. LUG 1 E _Cooutr. Florids. " aod this statemeat b to be Wcea as ap derlaratio~ at dt~eaabjp. aetwl leaal resideACe aad doa~ie~e ia tbs Stats v[ F~orida. • ~ IP iOR tHE PURPOSE OP ENROILING IF i0R NOMESTEAG PURPOSES~ - CNiLOREN IN SCHOOL~ P~EASE STATE P~EASE CH£CK: ~ T EIR NAMES2 - - ~ . _ . ~ ~ iT~~1E COUNri F~A. ROCER ~OITIUS ~ ~.~~lp RK CIACUIT COURT ~ . YERIPIED Nov 16 I ia PN'7i 3$4~,54 i FtJRTHER CERTIFY tl~at i w~71 register at mr loeil addnss ~rhen tbe regi~tratioa boolca reopea. and ~ompir rritn all other requinraeaa at a legai resideat at this State. - I FIJRTHE~ CERTIi~'Y I bave no inteatioa to nturn to m toraaer daaiuta. and I intead to nmain in ' - ~Y ~_irr•_A _ ~T. Luc~E _~t~~ IQt~I . . Florida, penaaneact;. ,''~~~~.t~~~~~~~~~~~- . 1' ' ~ ~ i ~ g~ ~j~ • - • ~ , S,i• 'J •~s~~~~~ _ ~ • 1. • ~ ~~~~/'i ~I~• • G~~: 'c~a ~ . : ~w, . . . ~ . i ~ ~ :j ' ' . . G : w . . .7• ! . ~ _ ' +S i`7~ ' , ~ ~ - e, t ? ~~'(~r ~ L ~ t r~ ~ , . ~ ~ ~ i~ '3'; ~ I , ~ • . ~}:r-: • ~ . ~ ' • •t ~~A p~.7`~t_ : _ ~ . . . , - r~~~L ~ V t~~~~ -~i- - •,:'Rtr~j ~ Sworn to a suhxribed betocs me tAis ~ dar ot 7~ / ~,l~ jr~r• i~~~/a^___;__. , A.D.19~7~_, - ROGER P01 TRAS CLERK OF C IRCUI T COU2T sT. ~ uC ~ E couNnr, F ~oR ~ oa ~ . 8Y: ~ - EPUTY ~ERx ~ ~ . . , `OOK~~ PACE ~Q ~ - _ - - _ ~ - - - AGO form 71 ~