HomeMy WebLinkAbout0329 l~~~:~~~~~i~:~ o~ E~~~~~~~it~ ~~d ~~~~z~~~~hr~a ~ ~
~
4 ~4n1
7'OTIIECI.E:ltKOh Tfik:Cl[tCI11TCOURT~
_T ST . l l1C 1 E (`Ol'NTY. F 1.O1~lDA:
This is my dc~rlaration o[ Oonurilo and Citizenship in tho Statr of Fturid~ that I am CGns this day in aecordnnco. and in
conformity with Scction ~~.1T. t'torida Statutca.
1 wAS (orm~rf • a Ie al re~ident of ~,~~P 7 c' / . ,
1 K . 1lJ a~d I
- it~) St~te)
msided at. 7C's2 ~ ,1lowcver. I have chnnged my domicile to
(Street and ,
IumOsH
and an~ nnd h~+v~ becn a bona fidr resid~nt ot the Statc ot Florids aince _ ~~it )`_.T._, ~/r'S~ day of
r, 1 /
T c 6? E' v .~191.~.~ and I reside At ~ C G %r
~ r 1 • (Street ~nd m~srl . .
T l„! ~ ~ ST LUC 1~ Couoty~ Florida.
lCit~) ~
end thi~ statrment is to be tsken as my declaration ot citi~r~ship, actunl legal reaidenc~ and domicile in the St~?te of filorida. ,
. ~
IF FOR THE PURPOSE Of ENROLLtNG IF i'OR HONES7EAD PURPOSES~
CHItOREfJ tN SCNOOI~ PLEASE ST.ATE PLEASE CHECKS ~
THEIR NAM£S: -
~ P S `)`j~~ f 7'~j h
~y ~ 10 ~9 ~M'1~
Ft~EO ~?MO PECO~l0E0
sT.lUC1E tWN~Y~ft~-
ROGER PO~TR~S ~
CLERI! CtRtU1T COUR
~E~SItO vER~F1E0 -
;
i
Q ~a`fQ~. `
t
i
i
I FtTNTIIER CI:RTIF~' that I w•ill register at m~ k,:al addrr» when thc registration books reopen, and comply with aL'
uther rrquirements of a legai residcnt o[ ihis State. •
I FUIt7'i~E:{ I;1~9'iF'Y t1?~t I hav~ nn int~-nti~,n tc+ rrturn to mv former domicite, and I intend to remain i~
r__ ~„t~~--'~ -i-~----•_-r • ---T~-- U ~
~
E. . \iOUi:~)',
~Ctljl
}'lorida, pcrmancnti~. ~
j
~ ;
~
~
`
~ ~OU/~(~ ~
~ ~L:F : • , ~ i
J~ L''
V: ~ti , ~~G
. : ~ / . .
: ~ Vi ~ ~ ~ - .
~'i::. ~ ~
`Pr '
_%y~;v f
; ' p
. ~ `V ~
" ~Gcyf`"=-'i•:'~''' pP ~ • . / ,
cr,~,~~;~.F` f~ric is ~?`l~ ~U 5 7~i<-~
(Neme) ~ .
,.1oc'G f~i~ p c,ci
f n r (Addrese)
SNOrn to Tnd si:h,rri:~~•d h~•torc m~ this _?1!~ day.o! lc~- ~ J~~+~_~ G° ic~G____
~ ' - % ~ ~ ~ , rt.t,. 2~. 6 . _
~tOG~R_ POI ~R!'~~.,_ C~EF2K Of" C IFtCUI T COUtT
S7. LUGIE COUNTY, Fl.Ok1UA ~ ~
BY: ~ ~ ? I
~ ~ t I
CPUTY ~E~K
' BOGK ~~7 FkGF c]~ :
. n~;~~ t-.,~~~~ T~
.
-
~ _ ~ ~ - - , _ . . .
~
~ F_ t - -
_ . = r
_ . - - ~r-s-