HomeMy WebLinkAbout0006 ~ ~ . . , 1-~/
C~eclar~t~on of Dor~fcr~e and C~$~x~r~sf~~p
~
. ~U3555 '
i
TO TH~ CLF.liK OF TliE CIItCUIT COURT. ' i
ST. LUC I E Covrrryr. Ft.oiunA: ~
. ;
. ~
This is my declantion oI Domicib ~nd CitizensAip In thc State ot Ftorids that 1 am filing this day ia accordance~ and. in ~
contormity with Settion 222,17. f'lorida Statutes.
. ~ ~ / ;
I wu tormerly a leg~l resident of ~ ~ J'~ ~Q W V R~ and I ~
ICit~) l8 }
resided at ~ . Hoacver~ I have cAanged my domicile to ~
l8treet sad NwaDu) ~
and am and have beea ~ bona Cde nsident of the Stale of Florids since ~~1~ day ot `
~d r ;
~18,~. and 1 reside at
~ . ~ ~ ~ tre~t aad Nwnber) ~
J1a.L_ 1~', i= sT. ~.uc ~ c~~,. ~tia~. ~
t(Scy)
and this atuiement is to be taken u my decIaratioa ot citizenship. actual legal residence and domicile in the State of Floride.
IF FOR THE PURP.QSE OF ENROLLING IF FOR-HONESTEAO PURPOSES~
CHIIOREN IN SCHOOL~ PLEkSE STAYE PLE/lSE CNECKS ~
THEIR NAMES: ~ ~
• ° , 4 t`
rfQ
- ,f ~~~~F~. . ~:~7
e. EqA CtRCN~fi ~OU
•.`~~,,F~E~ -
~ Mar IS 3 31 PM'7Q
- - 4~35:~5 . ,
~
~
I FURTHFR CERTfFY thal I will regisier at my local address when the registration books reopen. and comply with all ?
other requirements o! a legal res,ident oi this State. ~
_ ;
I F[IRTiIE~ E~`IFY th~t 1l have no i~trntion io . rcturn to my formcr domieile. and I intend to remain in
~ / • .~C. G C . ~ , _ S T . L U C 1 E . County.
tCityl -
Florida. permanenti;.
~ou.y rr -
~ •~~CpG, r
~~s = ~
-1 j ? V -
V• - ~p~ ~g
. ir~ ~
r ~ i
a~~ •'F~ »t~:v
E~oe . ¢
r`~~ iCUM~Y .
, (Nunol '
t-"• ddroasl ' ~
Sworn to and subscribL~d beforc mc this ~ v day of ~
4
C~~, n F
'l~'`7 . A.ll. 19. 7 p f
i
ROGER POi T2AS, CLERK OF C IkC.Ul7 COt~2T ;
;
:
F
ST . Lt1G { E COUNTY, F L-OR t OA ~ ~
• ~
BY: ~
EPUTV IERK
r. r
r.~ S
.
:ti.~ t~ t : ~ .
`"w ~ _ . . - . - ' " -