HomeMy WebLinkAbout0122 VV~/~M¦ v~ ~ / ,
. . ~ ~ ~~1~'73 .
- . ;
~ • . . ~
• TO Ttt6 CLERK OF T1IE CIRCUIT COURT. • , • ~
~
~ f
• ST. LUC i E_ COVNrY. FIARIDA:
. 1`
'fhu b nU? dcclantioa ot Domitilo and CitlscnsAip in tM State ot Ftorida that I~m filing ttis d~r in aeeordance. and in
conformity witA Sectio~ 222.17. Flor~da Statute~. 1~ .
- ~ ~ ~ ~ . andl
1 was tormerl s kgal resideat oI IU ~<< IStat~1
I~
1 z b~ Z ~d ~ Q Howeve~. I have cMnged erU? domicik to ~ s'
n:~a~a.c l s t
t&r..t.sd Nnmeul
day of
aad un snd have beea a boaa C~de re~ideat ot t~e State ot Florida sinee
77 S6D / jc~NS~T ~3LV/.~- ;
1~_ c_ £ M g f Iei~ ~ i,nd I mide at
' lStewt ~ad NumDerl
~ ~ ~ ST . LUG I E- County. F~orida. „
tae~1
and this statement ia to be takea u my declaration oi citizen'ship. aetwl lcgal residenec and doraieile in the State oi Florida.
If iOR ?~HE PURPOSE OF ENROILING If FOR HOMESTEAO PURPOSES~
CHILOREN IN SCHOOI~ PIEASE STATE PLEASE CHECK: ~
TNEIR NANES:
FILEO ANO RfCOR~EJ
ST.lUC1E COUNTY Fl= !
Rt!;_" ?+~1'RAS j
~ c=a _ :~'~.j ~i.~1_ .
i
~ ' ~ J~!1 Z6 ii iz ~N'?~
4i1.t?'73
~ I F'URTHER CERTIFY that I rv~l register it my local addreu when the registrstion books reopen. and comply writh all
j other requirements oi a legal resident of this State.
~ I FURT~iE~ CEBTIF'Y that I have no intcntion to return to my former domicile. and I intcnd to rf ~unt n
~ , ~f. ~~5~ ~ _ S7 LUCIE . y~
f (Cd~)
~ Ftorida, permanen~i~.
..c~:
- 1
~ ~
~~F•' y ~U~ t
~
c~ ~ r' • _ ~ ~ / ~ ~,.~,T~.~~ ~
~ : e ~ ~
as;~-.~•~OD ~E~pJ•EO l
, <</CfE C~v~~y.
S~ o~ 5~E- 7- l_~ L? D. -
~ ~ Addrcw)
- - ~ .
~z~- a~ or ~e 2 ~ ~ ~ ~ ,z ~ ~
~ Sworn t.~ and subscrihcd bcforc tnc this Y
~ _.A.U.19. / ~ ~/~/Q4PlIy .S~Cwa~T #
v
~ ~
~ ~i-c r~[d ~
~ Rn_ P01 it/tS~ CLERK Of: C IRCUI T CUt~2T ~
~ ST . l_UC t E COUyTY, f ~Ot~ 1 U/l
~
dY : ~/l~i~W - . . ;
~
CPUTY LE~RY. . _ _
~ ' . -
.
~ ~ ~ PAI;E
~ BOOK r~~. ~n ^
_ - t
~
~m - - ~ ~-a...~,.~
~ ~ ~ # ~
~ ~ ~
. --s -~.-r,~~~~„~.~ -
- _ - -
_ _
- .
*,s~>.,._~
~ : 'tzt`7''s .