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HomeMy WebLinkAbout0240 ~ 1 , • ~ \ . • • • • • ~ ` 1~_ ( i..~~t., ~r.~~,~• , . ~i ;~t•1~.•~ii'•_~'.~:~~ • h"~ ~ / ~j' ....:<--I.~..l\, .~wl~ ~~.~~..rl~~Mi~~:!~.•.. ~i•?~t1~ ..~~~R~Yt..~ Z.t,.u~~`~ ~ i o ~•,~L c~.t~:~th o~• •r,~F c~acu~~r cou,cT, `~~50 ST. l.l1C I E _COUtv'I'1. Fl.O::tDA: . • Thi~ 1~ my d:•clarati~n o[ I1ni~~icile cnJ Citi:ensl~ip in the Stnlo o[ F'loride that I arn t~ling thi~ dey in accorJance~ and in eonfarr~ity with Sectiua :."..'`..'.1T. F'lu~i~~ Statute~. I veas ~~rmorl~; Irgnl rc~idcnt of ~~L11L~~1Z.~1l1'~[ ~l . 1.JLFC) and I _ IC~ey1 ISeaeol resided at % ~ ' NoK ever. I hnve cha~grd mr domicile to (Street ~nd Numt~ c) and ara end have b~en n twna tide resident ot tfie Statc ot F lorida ~inco dey oI '~C1 .1'J~., end I resido et . )~l; ~ / ~ ^ ~ ' (Streot and humber) ~~i ~ ST. LUG 1 E County. Flurida, iCltrl and tti~ siatement i.; to he isken as my declaration o( c::uer.sfiip. n:tu~l legsl rrsid~:ncr end dorlicile in tha State ot Fluricla. If FOR TFiE PURPOS£ OF E~tROLLI"1G If FOR t10NE5TCA0 PU4POSCS~ CIi1LOREtJ IN SC1f001~ PILASE 5Th:~ PLEIISC CH~CK: ~ 7HE~R NAf-1~:5: ' ST~~y~i~ ~OUMTY FLA ~ ROCER Pp~jRAS L „r C[~ RI( ~~qCUlt COURT _ v~p~F1E0 . JaN ?T 2 44 PN'~g , 39WO~O ~ ~ i I FUf:TsI::R C~.R'i'I:'Y t?:at I~ri;t :~,i>t~.- at r.~.• lo~::l r.dd-css ~•hcn t1:c :r~;~stralioa ba~}:s reopcn.'ar.~t co~p~y w•i!.~ r.!l j ott.e~ rer~uirr.r.~en:s a: ~ i•~,;.~! r:•.:de:~t cf t:.is ~:ate. E ~ ~ T. r•• : for: ier c;o~r.ic:t^. xnd 1 iutc~d to :cr.:~in in 1 FU..Til..d C~• :i~~'Y tl. ~ I hacc r.o in.tn.ion io rc.r.rn to :ny ~ ~ ---'ri-T ~l .U C 1 , Ccrun:y . ~ (C~t~) _ . ~ 1~'lori~~. Fcrr~aneuii;. - ~ . ..t -~~•",•Z~~r C f:' ~!'r4r•.~ • . _ ,~.5 ' . L. : l. . ` ' :s J ~ ._4~.~fif..C ~ ~ ~ 4 J; ~ ' . ; . - ~'iC'/~~E) ~ (.;Vi.: _~~~LL~~CX _ ~,(dL~~~~sd1s.~~ ~~a s C-, r ~ ~_.~"___..~~~~.~_~~~~i~_ t . ~ ~r,., ~ Sv: prn ...~,t h~rrihr~! I~rl.~f~ t:tt• tS.:~ ~ ~ (~:ti) c~~ ~/~1~~~.__.~~~~~__ f:.11, 1R ~ - r. .•r- r r' r ~ ' li~_ i~_'t_ 1 ~1_I~~r:~..~J ~{~h__~r ~~^f.~~S j_ ~~)±.r~~~- ~ • - - - ~ ~>r. i ~~.-it_ c.-~:~:ii•r, r~ c;~-~~~,;, ~ ~ ~ ~,~~:t - ~ ~ Y c.~ . _ _ ~ i~ c• -i i. p e~ ` bORO~( ~v~ PAGE . ~J9 ~ . ~ . ~