HomeMy WebLinkAbout0150 ' / •
•
~
• •
TO T}IE; CLEItK OF Tl1E CIRCUIT COUIiT. , . i
, .3'.'99844
_ ST. lUC 1 E ~p~y. ~,ORiDA:
~
TUb b my dala~ation o~ Domieile ~nd Citizcnahip in the Stato ot Florida that I am 6Gn~ this day te accord~nce. and tn
toatocmitr with Scction ~.17. Flo~id~ Statutes. ~
. ~ ~p ~ ~
I ~?~a tarmerix a tegal ~caidtnt o( ,,~.u ~ ~Y~,,. ~ ~ ; . ~nu~r.r„~A - and I -
~ lt~cyl Isua1
eestded at ~%j~~, t - Hoxsvee. I Aave ehanged my domicile to
lstrat ~?d N~m0~~1
aAd am ind have bcen a boaa Cde ~esideat ot 4he State ot Floridn aince / O~'~ • ~ar ~
~ L - y 9.~E_'c~" • ~
..19?~., and I re~ide at _ ~ Du i ~ c
(Strht and NumDetl
e~ S~ /~!n ST. LUC i E Co~aer, Florida.
= It~c~i ~
and tAis st~tement is to be taken a~ mr dectaration o~ eit~Zeaabip, aetuat lega! re~idence and domicile in the Stato o[ Florida.
IF iOR THE PURPOSE Of ENROLLING' Ii fOR NOHESTEAO _PURPOSES~
CHIIOREN IN SCHOOL~ PLEASE STATE PLEASE CHECK:- ~
THEIR NAMES:
_ ~i9~~1 ~ .~i'~i?.?
G/?,4 ~'~~'.~s ' .
~Tl ~ ~ s
~
~~•~.~••ff/r AS~ ~ r~~ AIH RE~qROEO
ft Ld~C~IE ~ OlpR1?S L~.
• ~ - C:ERK C;3CdtT CC . ~
. y:u,~~fn
~ APa 12 2 2o PM'~
~ ~ ~ - 399844
I FUKT~IER CERTIFY thit I wJl rcgister at my local addres~ when the rcgistratioa books reopcn; aad comply with all
other requiremenu ot a tegal resident ot this State. ~ •
I FURT~IE:S CERTIFY that I have no intention to return to my former domicile, and I intend to remain in
~ ST . L U C 1 E County.
lCit~! .
Florida. pcrmanenti~ .
. ~ .
b~,ov+vTyc ~
~ ~G .
~
v . p1 ,
~ ~ ~ ~
~ ~
, ~
~l .'Ctl;Xrt • • ~ ~ .
_ - 7r~/ /'t/ _F/~
. . (Nun.) ~
;
(Addre~~) `
Sworn to and subscrilicd bcforo mu this d•r ot ~
. A.D._ 39!~~ ~ {
~ ~
ROGER ' 01 TRAS• CI.ERK OF C If2CUl T COUf2T
ST. LIJC 1 E COUNTY, f I.OR 1 UA ~ '
. ;
QY 2 . ~
EPUTY LCHK s
. _
: ~
~ . ` • ~ ' 3
_ . .
~ ~ ~ ~ ~ R 285 Yr :.t ~ i~45 ~ _
' gO~K . AGOFarmll~:•~
~uz._.,~"-~~
r,.,.4~~.rs: w,u-, _.i`- - ' - ~ . . . • • - • ~
_