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HomeMy WebLinkAbout0060 ` . ~ f' . . 1 ~°r•~• t. ' ` ~ .,~•-T'~.~ ~ I~ t ~ ! r• ir i.` j \ ~..i•~ . ~.,~i ~=~.~LI:IL`4+Nt~...% G.:~ti ~al~~+::=l-~t..:i.ti ~ ~ . ~ ' 391,933 ~ ~ . •~•u ~~iit: cc.i:ith or T,~e ct~curr cou~cr. ~ S7. LUC I E _COUN'i'I'. fL01:lUA: . . 1'hi~ 1~ tny ~I:~cizratian of 1)~u~ici!c cr,J Citizcr.st~ip in thc 5tntu oI Flurida that I~~n tding thU day in acco~dcn~c. srni in conia~ mity with ;;cctiun ~.1T. t'I~~riJ~ Statutr~. /vc' w t/er's ~y I wa~ f:+rmrrl~ s Irgal resiJent ot ~ %•~d ,Qr ~ and I ~ w~Cltrl IStseolT- ' residcd at _ 7~>~.~ S]~r ~ P~ 3~ }Iowevcr. I havc changed my domicilc to ~ (Sireetand umtr.r) ~ and ara aod heve bccn e bons fidc rc,idcn! of thc State of Flori~a aince ~'s ~ dAr of ~ / r ~ 1J and I resic:e at ~ S~ S~d~'r ~J a l~ • Q'", r c : ~ ~ (Street and t`umber) t /o r f Sl- ~C; e , ST. LUG 1 E Cc;:nt;,Fluricln. ~ (ptJ) ~ t end t~~i; statrment i; t~ be taken aa m~ declaration ot c::ir.en~::ip. actcal le~sl re~idence nnd domicile in the State of Floridn. ' f ~ ; • 3 . 3 IF fOR TNE PURPOSE OF ~Plf:OLL ING If' f'OR IION.ESTEAQ PURF'OSES~ ~ CNIIORf_11 IN SCHOOI~ PLEAS~: ~TATE PLEf.SE CHECK: ~ Y TNE~R hAMES: ~ ~ • ~ . - . ~ r i ~ ~ k ~ ~ . - 3 : J s i Z ~ 2L 3 ~ , i , t 1 FL?t:'CiI::R CER'i II'Y t~:~t I v:i~l re~i~tr:r r.t loc~l Fdd-ess ~.hen th~• :e~,-~s.:ation ha~}:s reopen, nr.:1 co:n~~;y wit:~ c!I ; . ; i ot}.~t tr.luircz:+~•n.s oi 1•~i; s: r: ~ide~d o~ :~is ~:ste. - I ' , f ~ I FUF.T}i~:' C~'l;1iE'}~ tls:t I h~~c e~ inter.ti~n to mturn to .:.y for:.i~r uo~~ici!~, and I i~,tc:,d to rcr.:,ia ir. 5T Luc ~ ~ •y, ~ t~' _~~~'C. P ~li't. ' (Cit)) a i ~ - • ~ ~ }'t;rica, ~crm~?:enci~. - ~ , - ~ ,,,`~-c= ~~e.~~„'t v • ~ • `Y `~,1/~ ~ _1/[~~~: "`"N' ~ J' 1 " ' • ' ~-~=-'~yF~ ' ,n~ i_•__i: ~ : j - . : . s " ~r' . 1 - ` ~ f ' ------~~a ---~a rc-~-~= - ~ ~r . (:;:.r.e) ~ _ . .~~':~t ~ ~ ~L_!~./.~~ ~ ~ ~ :.:,,,,-t'."`~' (.i~.:r::sti1 ~ ~ 5v: crt~ ii'~~i fTl~~~ {~,•(~rc r.:~r tt,~c ~~t~t::~? o( _ ~d ~~s~ p a~ L 3~5~7 ~ ~ r.. _ _~^U ~ ~ 'H v ar , /'..if, 1!1 ~ 6~A. ~ ~ ~ ~ - j~~ER~~~s ~ ~ ~ ~-r. . . r ~ r ~ ~ F C"~ . F.C~I_:~_..,.~, C1 E'f;h-~'--~.It_r~_!I~ ;--Cr~~..:•.1 CIERKCiRCU1TC0U r ~ - - - - - ~C': vFaIFIEO ~ r. i~~~_ ~ r. c.; ~•r, r~ c,: r~;, ~ J~~ 16 3 n2 PN'1B . _ ~ . - ~ r;,~ : _ - _ _ _ 3~i9~3 ~ ~ `i~! i S ~ ~ Ir~ ~ % t ~ ~ ~ . i ~ soo~ 281 ~ 68 ~ ~ ~ i ~