HomeMy WebLinkAbout0303 i ~~clur~ti~~ Qf ~~~i~i1~ ~nd Citizen5hip ~ s
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TO T}IE CLERK OR THE CIRCUI`~ COURT. . ~ , ' : ~
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~ sT. ~~c i e , courr~r. FI.ORIDA:
This b my deelar~tion ot Domicilo and Cit~ensAip in tAe State ot Florlda tMt I~m t~lin~ this dq in aecord~ace. and {o
eoaformity with Seetion 2~.1T. Fbrida StaWte~. ~
I ~ras ionnrrt a kgal resM~at ot ~,.~.~3:..~~ ~ _ ~ _ and I ;
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resided at ~~.~_,~~il . ~ ~ ~ ~ 1.%~ - NoMever. j ~va ~i~~.n~eu da~rc:siie Lo • !
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and ~m ae?d have been a Dona Cde resident ot the State of Florida sinee a~7 ~
19~ and I residc at 1~ F%- A-~-~-L `~-?3zi
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• ST . lUG I E Cou4ty. orida. ~
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•nd this statement is to be taken u my declarstion ot citizenihip. actuel legai resideac~ and domic~7e in the State o[ Flori .
If fOR THE PURPOSE OF ENROILfNG IF i'OR HONE57EAp PURPOSES~
CHILDREN IN SCHOOL~ PIEASE STATE PLEASE CHECK: ~
• THEIR NAHES: -
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I FURTIiEft C~RTIFY that I wil) register at my local addres~ when the registration books teopen, end comply witfi nU ;
other requircmcnts of a lcgat resident ot this Statc.
I FURTIiEZ .RT1FY hai I have no intrntion to return to my tormer domicile, and I intend to remein in
~ _ ~ ' ~ ~ ~ $T . L U C 1 E _ County,
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Florida. permancn~i; .
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Sx•orn !a and subscrib~d bcto~e mc this ~ day ot ~~~%~t ~ A ,~,~.~,,.a~`s,. ~-~.y -3 ~ ~j~ ~
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RQGER P01 TRAS. CLERK OF C IRCUI T COU2T
ST. LtK i E COUNTY, Fl~t t UA ~ s
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