HomeMy WebLinkAbout0588 ~ r e ¦ • ~ ~~K • /
D~c~~~~t~c~n ~f ~c~~`tolCi~E c'~. ilC~ CI1~-~Gtl~~l~~'J ~-t
• ~U~O~'~
TO T!!h: CI.1•:Rti Ot` T11E C1RCUIT COUltT, ~
ST . L l1C I E COUNTY~ FLOKIUA:
This is my decle~ation o[ t)omi~ilo and ('+lisenship in the State of Florida that 1 am filing this day in accordance. snd in
conformity w•ith Section 2`..~2.17. Fiorida Statutes.
~
I was torme~ a l~gal resident of j . ~0 and I
~ n ~ ICity) IState)
tcsidcd al ~2 , Ilowevcr. I have ehanged my do:nicile to
(Street and NumDer)
and am and have bcen a bona Cde resident ot the Slate ot Floridn ~ince L~`~`~~`~ day of
.19~Lf1. and I reside at y , C ~
(Stree d Numbes)
Y c,9~•~" ~ u. l,,tP. ST . LU: i_E Cour~ty. Florida. -
.
(G1't~)
and tl,is statemcnt is to bc takcn as my dcclaration ot eitizenship. actual icgal res~dence and domicile in the Statc o[ Florida.
IP FOR THE RURPOSE OF ENROLItNG IF FOR HOHES7EA0 PURPOSES~
CHILOREN tN SCH00~~ PLEASE ~7ATE P~FASE CHECK: ~
THEtR NAMES: ~
~ ~~•~-c
~ ~ ` l..(_.~X~~-¢..~/Ll,~
'
, ~ ,,,G ~ p4,- F~tEO 4N0 RECQRDfO
l ~ _ 4 - ~J';~ 9 .lUC1E COUN~Y FlA
~ ~ . - AOCER POITAAS
J ~ICRK CtRCUIt CO T
, Y: a:ciED
Mar 3 10 sT AH'T8
. 4~~~'~
I FURTHFR CF.RTIFY thnt I will register al my l~Knl adJress when the registration books rc:opcn, arsd comply with all
other r,quimrr,~nts of a legal resident oi this State.
I(~
~UR~T,.~,}iE~:~ CERT F~' thEt I have no intrntion to mturn lo my formrr domicite, ar.d I intend tv remain in
t~~~ u_ c..~.~t.i ~ $ T. L U C 1 E Cou nty.
lCity) .
}'Iorida, permanenti,.
~(~o
NT~ ~..J'~ Cc,~' ~
` • C. FF+' ~ ` ~HC~(n~
c,J`, . o
'v: ;y ~c ~ .
.r~': f ~i ~ (tiamr) ' .
. ~ . ___.~1~~.._
~c~~,-:':~w;T~~s`-=Q.o~ v~f 9 u~Q... r ~c. _
i,~` ~~CU.Vtv.F~~ ~j (kddrees)~ .
Su~vnt th~l~l~ribccl b~•tor~ t:~~ this da~ of ~o t 1 ~ .33 =~-S Z. ~
~C~ A.~). 1~~. / C~
F?QGEfl, I"f~2.~~,,_ CZ F:6:K Uf"_G i(1GlH 1--(:(,~Li.;T
ST. L:h; t E CULtNT'f, ~ ~ C1:: i[)A
f~Y~ D
~[i~i'11 C~LRY._..~.__.__ (1 k
~l~~X ~~V ?i~~,~ tJ~
F
1