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HomeMy WebLinkAbout0085 • ~ , 1 , , ~ f: t'' Y b~~s'.•~ s• ~ ~1 /~~s:.N.~rr ,,-~f ~ .~~...c~..~ r_1.,: ~a; c•w~d.~c~iL~.~t~L~.% 4.~~~a ~...^?~r~..4-.'.i::.~:,1i~.~ / . • • 3s1953 ~ '!'07'IIL:C[.i~:1tK(U•' 1~JiFC1[tCUI'I'COUIt't'~ ST. I.UC I C_ _COUNTY. FI.OI:IUA: . ~ 9'hts Is my d~ clarati~n of I1nu~icile r.nd Citizet;5liip in the Stalu ot Florida thal I a~n GGng lhis day ii~ acco~dence, and in conS~rm;ty wilh ~~ctiun:."~.17~ 1'lorida Stntulcs, I wns form~rlZ a lrgal rc~ident of ~ / . 1~/ ~ S T- ~ and I ~ ~ ~ S.f-_.1~_ . , ' ' , . ~ ~ Iy 3 1b~~7~ ~.~~t~0~ 1 residcd ~+t f'~7 ~ o rr- _ F~ ; J, ~P w r,~ (-~L~/ _ f io~ ever~ I hsve changrd my dotnicilc to + (Strret and Nun~~.: r) t and ar:~ a:~~ have Gecn t? t,o~e Cde teQident ot the Statt of Fiorida ainca i~~ ` / 5~ 7,~ d~y of ~ f 2~- • _ end I resiJe st ~ : ~ ~ O ~T ~ ~ ~ - - - (Str~eet and NumDer) j-G' .~_~-,C w ST , L UG 1 E County, Flur ~da, tpt~) ri:d t~i~ stAtc~netit i~ to hr- tskcn a.9 mp dcr.l~ration oi ci.ucr.9hi~+~ a~tual lc~ai residcncc end d~r.ticilc in the Statc oI Finrida. If FOR TI~E PURPOSE OF' ~NROLLING IF F'OR F:ON.FS7C/.D PUkPOSES~ CHiLUREt1 IU SCti00L~ E'1.EASE STA7£ PLFASL CNEtKS ~ ru£ ~a NRMt~S: I I'U!:"Cfi:;Ii CER'~ ~3'1' t?~::i I~ritt re~,i;t~~r at r^;• tocrl r,dd;css ~.hen the :rt-*SLratioa b;,13:s reopen, ar.:i co :~~,y wit~ r.ll Gt}.t!I CCiiUiifi:l''lSiS GI t•:+; ii ~:~~t[l~ Ol tS:[S C:.~.tt. I F'~:Tif;:.i C~•:j:l';FY th: i I ha~c r.~ inirn:i~~ to return to r.:} for :?~r do?^icil~, r.nd I iuten~? to rcr.:zin ia ~ V~-.~.~-~L ~ c e ST ` l, l) C_ 1 E _w ~ Cc~unty, (Cit~) . , }'I~ri~a. p~rr~aisc»ti~. -~~~'nY~`I'r.~ ~ ~ ~1 ti ~ . ~ • ~l?~ _ ~ ~ .~.L~ : c-. ~ ~ ~ 4 ;.~~I -J : ~ iy . . ~ 2 f` 'fr . ~ ; P ~ g g ~~:t.:~, ~c:~' .,rt.ti`°P -~~:_17~tT'.~d~L___-______--------------- -`~Aqu..'~ " J~ , (f .':-xtil~j ~K'oru !o r.^.~I ::s!~~, ti~~t~! 1+.•I~tt• r::c tl,:~ c'.::~• t~I `~'r, c..7~~J~~j l~ - t /..I). ?~t_~~I oi No/~w¦n{ o~ IIOED ~ r ~ ' r• ; : r f ~ ( f . ~~VY~i YY~17~Y f.(•. . f'C; i'i; ~ C 4 E F. f'~ _.1 r, l, . ~ C.). .l DOER ?41Ti1A5 - - - - - - _ , _ _ . _ . - _ _ CLFaic C~RCUIt CO ~ r • v~aiilfD 51~. 1 l.'C.I ri~'J:i?'~ , t-1 G':11';~. • ~ Jr,N 11 f ~ os AH'7$ f; i~ : _ - - .~~~-~-:-C.~;-- - • ~ ~''~q 53 C~ [~~i. t• r~ l t, i. ~v~"~ ~ 60oK 28~, PAGE ~ • _ _ - - ~