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HomeMy WebLinkAbout0965 ~~~aration of Donn~c~~e a~a ~~i~lCS ~~~•~N / ~ • . . . - _ - ~ E ~ • ~ ~ ~ ~t„~i~ ia tl~e 9tao~ ~+~a eWt 1 a~ ~ ~ ~7 r aaa~danc~. and ~a 'lfi~i~~ ~°'n . ~,~,r¦it~S~stiw?2,L''.lZ. Fiocida StatrA~s• . i _-Q~ _,r ~ _ ~~c ~~yL U.~1,~.TA aod I I.1wlf~'"e~:~s'°~4~ i~1iV~ . ~./.1 ~ GU ,C T ~weret.I ia~ aan~ed Wr doa~ to ~ 1~9t,.,t.~ 1H..~..1 ~r ~ ~ .t r h~lt l~YOt fde !tllda~ ~t Ll! .Stat! d~i~esi~!!! ~ 7~ - aad I res~de at ~ T - ~9r.naa.tw.~•~1 ~ r .c r~ ST. lt~ f E Co~at~. Florid.. ~ - ~yi~~r~st i4 t~ hs tiken as e~? dedaratio~ ~t cRaca~ ~~'~O~ ad ~ ia tk State d Florida. IF I~QR MQMESTEIID PURPOSES~ ~F FQ~~HE PURPQSE OF ENROL~11il6 r~EASE CHECK: ~{LaR£K IN SCHOOI~ PIEASE STATE . 1"lt~l i~ NAMES: f lL ~ R ~tTt~S _ ~ .c ~s , ~ ~;,lttF : ~ It _ _ _c~rr ~ s 07 . - ~ . 1~,~~ - t FuBTHEa c~TIFY chac I.t~ ng~te~ u~7 ~o~l a3~ .cie.'t3~r te~ •aa compn .ricn .u o~ r~q~iremeais oI : kgal srsidenl ot tlus Statt- I- F~1RTlIE3 CEILTIFY thai I b~vc no intrntim ta ies~m~ ts m9 and I intead to remain in - ~.2T •S r $T LYt 1 E County. lC'+t7! _ F~~ F~~u~ - - ry - ` i.vr'!; ~ ~ I~ P f~ . .G J - _ z : Q~ : r ~ ~t~ ` i ~c~`*~: ~ ~3 E~ I~ "~°v~~~_~ ~P f - ~/F ~ GT - 'r . . ~1 ~ f °~,~I/5f ~ . ~ / ~y~ TT~~ ~T L~[~ ~c~S~~ ?~y~ Swora to nud ~uLscribed before mc thii ~j _ A.D.19_ 7 ~ p01 TRAS CLERK OF C lRCU1 T CQiRT ~T'.. LtlG 1 E GOUNTY, F lOR 1_UA s . ~Y•- • ~ _ EPUTY lERlc ~ ~ • 1'Kf ~ ~ . : eco t•~~ w ~ _ - ~ _ - - - _ ~ ~~F : ~ _ ~ ~ f .~n~ _ ~ _ ' _