HomeMy WebLinkAbout0456 • / ~ ~ •t ~ ~1~!• E w
~~~%.'.~i~i~~~4` : a~~ a6 ~Q[[l~~i~~C C2i ii .~~C~.'..'•.: t l~1~~~.,~ ~
i
~ . ~ ~ 3b~6t~C~ .
TO THE CLE:It~: OF TEIE CIEtCUTI' COURT. - ~
ST. l. UC i E ~pu~. ~,p~A;
• This b my deelantlon ot Uomicile ~ad CitiscAahip ia tbe Ssate ot ~lecida t~s: I sm L:ias L4is da~ iA tecordnnce. ~~d In
eoafornut~ rvith Sectioa `''~.1T~ Florida Statutes. -
I~?as farm~rt a legal ce~ide~t oi . aeul I
lQcj~ ~ lSc.t.)
u~c~l~~~ S T _ Hs~a~er~ I 6ane chang~ed my domicile to
latr.et s.d idsoe.rl
a~nd am and have beea a bona Gde nyideat ot the St,ate a[ Floe~da siaoe ~b- L L dq ot
19 ~ 7. snd I reside at ~77 .SIcJ~~~ ~i9L~ L~.t/~
' ~t..~:~Leri
{7~7; L~.J~ _ ST. ltlG 1 E County. Florid~.
. lCit~)
snd this statement is io ~e taken u mr dedaratioa d dLiaeast~ip. actai! ie;~! eesadc~ asd dosnicite in the State o[ Florida.
IF fOR TttE PURPOSE OF ENRO~LIKG IP FOR HOHESTEAQ PURPOSES~
CHIIDREN IN SCHOOL~ PlEASE S~ATE PLE/l5E CHECK;
THEIR NANES:
- ST
IYCjF COUMTr F~,~
ROCER Pp~TRAS
C~ERR i~R~~~t COURt
• • vro,F~E'
. . ~c 11 II 23 AH'7~
3~383~2
, ,
~
j I FL1R! i1r.F: Cr:r'f1'r Y tha; I K i:l rrgister at rnp l~;
=I g3artss ~~r rc~g~s~-~i~ bo~~ics reo~n, acd eomply ~ it:~ e!1 .
s ott.er requeser_^.e:t.~ of a l~ga~ resident oi this .~.:ate. ~
~
I FURTtir•,a CEc.i~~Y th::t I have c~ intenuc:~ ta rt'.~ tr ras i~-~?~ dr=r.:,cile, zad I io:c~d to rea:ain in
~~r. SS. ~l~~'_/~ _ ~ SI . l l~ 1 E C:c,unty.
~ • iucj) - -
F'io: ida. Fcrrr.::nenti; .
, ~
, . , e~;~,, , ~
• ` - ; ~ ~ q,1V
_ J j... ~ C ~ _ - ~ -_['~1~~
4 1?.-~" ~ c ; ~ . - ~ ~ .
y ~ ~<c,S!' - 7 ~~v: . ~ r ~1 i .
~ ~/JC •~....•O• ~1 l:, e~~'--
• ~'i,''• l ti !".i ~ ~y~~ t..lic
. •.,l,~,~„~e•` ' _
~ ' Q f!c:r~ss}
`=•~.a::~ 1.^, s~d s::~scrit~;i b~f~rc tzc this ~ar- ri
1~!~ . h.~. t~_?
J
f:i~~~f: '~7!Tr !,`;x__C~ ?_~:1; C_~_ C.1:"~~~i_i _C~~'_•`~:T .
'C - , - , 'r
1- ' (
_~T. Ll~~..fe. CCI~;~l.., Ft...t_ .
i Y.
- . ~ ~z .
•i i - -
, - 1:~ x'f ~