HomeMy WebLinkAbout1852 ~ -~i . • . , _
Declaration of Domicile and Citizenship
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TO THE Ci.BRU OF THE CIIiCU1T OOUAT.
ST. lUG 1 E, apUt~t. F~,p~upw: ,
13is i~ aq dala:stio~ a[ Doioidl~ aad (~6ip !a tb~ Stat~ oi ~'loeida tbat I am minr tlds dy ia aoooe~daso~. aad ia
eootoc~mitj wltb 8~etioa 2~.17. I~'loeids Statut~es.
~r 1 was i ene a legal e+a~deat o[ i ~ ks~ Wo rt h F7 nr i" %a~ sod I
lp~,~1 18eaW
4QT 8 sussex Ave - Ac~wnrer. I b~,w ebanpd ~ domie~s t,o
I~~t a~d N~MrI
aud aan aad baw beea t boot fr3e re~.ient af th~ StaL~ dl~'lo~ida sina ~ ~ d
Anr i I ,19~.. and I r~sids at f'T ~3 MaL~*' Ave
tear..c..eHo.e.rl
~~e _ ST. LUG I E
ta~t
and this statemeM b to be takea as ~ dee4ration a[ eitisensbip. aet~W Msal r~idenae and domicile in tl~ Stat~e d Florids.
If fOR THE PURPOSE Of ENROLLING Ii fOR MOMESTEAD PUR~OSES~
CMILOREN IN StHOOI.~ PIEASE STATE PLEASE CHECKS ~
THEtR NAMESS
f919 JL'd 29 ~n I~ 31
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It I FUATHEft CEATIF'Y tL:: I w~l r~ster at m~ loal addrds wben tbe registrstion bool~s reopea, and oompl~ writh aD
~ otber reqnirementa ai a legal reaident d t6is State.
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~ I F[JATAER CERTIFY tlu~t I bave no intenti~ to retnrn to m~ facmer domia'k. and I intead to remain in
; a,,.r.o . UC 1 E- - Couat~.
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Florida, permanena~ .
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610 N(a~ a} ~ Ave
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~OGER P01?RAS~ CLERK OF GIRGUIT GOU2T ,~b ~at .lI- ; , .
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ST. LUG i E COUNTY, FLOR t OA • ~'°G
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Ar,r1 F~,rm 71 22
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