HomeMy WebLinkAbout0362 . u~c~araY~an or u~rn~co~~ d~~~ ~
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TO TlIE CI.ERK OF TlIE CIRCUIT COURT. .
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ST. ' LUG 1 E CpUNTY. F'i,ORIDA:
~ '1"hu b rnr deelaratton of Domic~le and Citiscnship in the Stat~ ot Fbrida that I am fiUn~ this day ia accotd~nce. ~nd in
tonfornnitr rvith Scction 2~:.1T. Flocida Slatutes.
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t ~?u ~ormerl a ksal ~eaident ot ~ o f} t(~ e ~ _ o~~ d r~ - and I
ICry1 Istat~)
etsldcd at n~ ~ A m ec~ A~ la sz ~ - Hoaever. I have ehanged my domicile to
19w~t ~nd Nume.~1 +
aud am snd hav~ bcen a bona fide reaident ot the State ot Fiorida aiace a~~ d~r ~
_ C7 b 4,r.__.1l~ snd I reside at ~
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. - ISw~t aod N~m~l
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1~ i 2 r c_~ _ ST . ll1G I E County. Florida.
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and tba atatcmeat ia to b~ taken as rnr declaration ot eitisenahip. actual kgal reaidenee ~nd doatieile in the Stato ot Fbrida. _
if POR THE PURPOSE OF ENROLLING IF fOR HOHESTEAO PURPOSESi-
CNIL~REN IN SCHOOI~ PLEASE STA7E P~EASE CHECK: ~
THEIR NAHES: -
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_ CLERR ~rp~RAS
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- ~ ~r~'~"'ED
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' I FURTHER CERTIFY that I w~l register at my locnl addrese when the segistration books teopen. and comply with all
t other rcquirements ot a lcsal residenl ot this State. ~ ~ .
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' j FURTHE:t CERTIFY t I hnve no intention to return Lo my former domicile. and I intend to remain in
~ ' `~~c ~C f~` , ST . LUt i E -•County.
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Fiorids. pcrmanenti~.
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~ Sw•orn to and subscril,cd bc(oro mo this ..._.1~ d~y of
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ROGER 01 T~?AS Cl_ERK OF C IRCUI7 COU2T
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ST. LUG I E COUNTY, F I.OR 1,UA • `
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