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HomeMy WebLinkAbout0218 ~ . ~ ~ / '!'A?8E CS.EItK OF Til£ t:IItCUTr COUxZ'. ~ ~940+D'~ ~ ~ ~ ST. lUG 1 E _ap~Y. ~p~pA; o• • • . . '3~b i. mr da~duseba ot DomidN a~d C'itis~saip a t?. Sta~..t Fi.~id. thac t a. tJ~at ei~is d.r js acoo~..a~. .~d M iMtormit~ witA Ssctiou «.I7. Ftorid~ Stst~t~s. , j~rss ~ a k~al reaideat o~ !`i ~?~v•vrv~ ~,s __y jrj,~~r y~,~,~~ ~ I . . a~.~.~ awid~l at -7 7 S~-~4 /-A ~~2 V w/ /a v~ B.w.wr. t e.,?. eh..see a~y domiei~. a iMw~t~ N.~M~I - -a~d a~a~d Lsw ~eea boaa Gd~ resideiete~ eM Stat~ o«'lo~id~sioc~ ~'/f,~ 3 O T H ~r ~ _ D,c-C ~M ~~rz. ~_2.Z.~•al~a..e 9~' ~L /KA~e Drz/ V,~ . ww.a... t~.s.r~ ~ [1 ST: LUC ! E ~r ~ . ~ ' iv~lmlR~ ~1 `O ~~!A b Dty dltjilS~IOII Ot O~tdl~ttP~ idi{il ~~lAt~ t~ d01l~! if1 vN .~i~Q O~ ~Of'1da. . • . -I~' rOR TME rURPOSE OP ENROI.LIK6 ~r ~OR MOMESTEAO ?URPOSES~ -tMILOREN IN SCMOOL~ rL[ASE STATE t~tASt CHECK: ~ TNtIR NANES: v ~ . ~ . ~ ' ~tM Rf~COROf D i . LUCIE COU~TY FLA. . • ' ROCER POITRAS - ' G~ERK CIRCUIT COURT ~ . . - •f''ic~ED ~ . . FEe Il lo 06 aN'T8 . ~ 39~007 ~ I FL1AT~iER CERTIF'Y that I~n71 teqister at aqr {oa! adde+es~ wrhea tbe regutrstion booics seapcn. aad comply aitl~ all ~tbes cequiremcnts ot a kgat rrsideat~ot this State. - ~~'LJ~T~~E;t ~CERTIFY thst I have a0 3ALttlti0ll to return to mr former dornie~e. aad I intead to remaw in ~ . - - - ~ ST_. ~ V C 1 E - CountY. ~ ICiyl . . _ ~ ~'lo~ids. permane~cf~. f • . . ~ ' ~ ~ ~ . ~ ~ ~ COl1fv jy - ~ CoG ac ~ ;y - ~ / Z_ ~ • ~ C ' r - o ~ • 1 ~ ~ :a`~~~ Q' ~ • ~ Wr ~ ~ • ~ "'F ccu+~i~~~ ' ~ ~ l'~- R 1nVe 5 ~ • ~ ti+t~as - ~ ' .~F~ m~k D2ivP_ ~ ~/Wdnu1 Srocw to ~e?d ~ubx~ibed bclore me tAu _._.1...~ day of u- ~ - ~ ~ • ~ h . A.D. ~9!~~, 3 3/~ S~ i ~ ~ OGER POI TE2AS. CLERK OF C IRCUt t COI~ZT . ~ ST. LUC 1 E GOUNTY, f LOR 1 UA ~ ~ ~ . • . . ~ 8Ys , - ~ [PUTY LERK ~ ; ~ ~ s~~K 282• PAcE 218~ ~ ~ . ~ ~ • ~?co r.~,t tt ~ • • . . ' ' ~ . . . . . ~ . ~ ~---.w..~w.~.~~ .~.~rt~.....,.~... • ~~~M? .M~~..A~:~~.r~Y• w~•t~ .w~~• • ~ ~ ' . L . . . . • - . . . • ~ . . . ~ . . . ~ . ~ . ~ . . . . ~ F~ . _ _ _ _ . . _.-::=:~a