HomeMy WebLinkAbout0879 , Dectaratian of Domicit~ and Citizensn~p ,
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„~?0 TlIE CLERK OF TtiE CtRCtJt~r COt)RT. , ' • ;
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• ST. LUC 1 E Cpuiv7rY. FLORIDA:
Thb is mr dertaratiob ot Domicila and Cit~ensAip In tAe State ot Florida th~t I am filing thts d~y it~ accordaACe. and in
contormity with Section 222.1T. Flo~ida Statutea. '
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I was formeri a kgal re~ideot ot ~ ~ and 1
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eesided at ~,lr~~ ~ 'C .
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aad am ~nd have be~en t bona C~de reside~t o! t!?e State ot Florid~ ~inca <~v~ ~ day ot
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19___~_. and I reside at ~,~~"12.~~
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f a~ lf ~ ~i C 1~,~ , ST. lUG 1 E Count~, Fbrida,.
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and this statcment is to De taken as my decLcation oi citizen'ship. actual tegd reaidenec and domic7e ia the State ot Fiorida.
Ii POR THE PtIRPOSE OF ENROLLING IF' FOR HONESTEAd PURPOSES~
CHIIOREN IN SCHOOIt PLEASE STATE PLEASE CHECK: ~
' " THEfR NAMES:
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~pG~R PGITRAS
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Auc 19 12 ~1 PM'Z$
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l FURTHER CERTIFY that I w~71 register at my local addrese when the registration books reopea, and eomply with all
other reqnirements ot a Iegal resident o[ this State. _
I FUR1'IIEZ CE t{TIFY thai 1 h~ve no intention to return to my former dornicilc. •nd I intend to remain in
' , ST . L U C 1 E , County,
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Florida. pcrmancn~i; .
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(Addresa)
Sworn lo and subscrit?rd fx fo e me this day of ~~/l/~ - ~ r
. A.U. l9. Q
ROGER P01 AS. CLERK~ OF C IRCUI T COU~2T ~
ST. LtlG i E COU Y, ~ t UA ~
BY: p/'~
EPUTY LERK ~ ~ R ~ ~
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