HomeMy WebLinkAbout1772 • -
C~eciaratio~~ oY ~o~r~icile and C~iYiZenship ~
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100 THE CLERK OF THE G>ZtCUIT OOURT. - ~~~v'2O •
STS. LUG 1 E OOVNTY. FLORIDA:
~'lUis k ~ derLratioo o[ DomieHe and io the State al is7erida tbat I am
• (~Seasbip ~ thb dy is aaoo~dasoe. and b
_ ooatoRait, with Seetios >~Z.1T. )Florida S~tatut~~es.~~ -
Lt~/rJr~~
I wss ~ a kcal r+esideat aI • and I
. IGVf ~ tst•W
resided at j ,1
~1 ~ ~ ~ ~ ~ - Aoweeer. I law ehanded ~ domic~'1a to
t3t~t a~ Nmtwl .
and am and Dave been a boas fde resident e[ths State d Fbsida siaoe - da,~ d
19~.,, and I reside at •
_ tt~..t Nst~l y •
ST. lUG 1 E
_ - tt~l t.
and this statement is to be taken as n~p dpclantioa a[ eitiseaship. actual legal nesideaee and domidle k the state at >:7orida.
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!P FOR THE PURPOSE Of ENROLLING IF FOR HOMESTEAD PURPOSE=,
CHILDREN IN SCHOOL,•PLEASE STATE PLEASE CHECKS
THEIR NAMES:
4550~Q -s
1919 AUG IS All i~ ~ 4 ~
s~~~`~'~~`SOA.
awe cuec°u~ couRT
RECORD YERIFIEO
P
I FURTHER CERTIFY flat I w~7! register at mT local address when the registration books reopen. and oomplT with all
other regnirementa of a legal rnident of this S4te.
I FtJATHER CERTI>:'Y that I have no intention to return to m~ former domia'le. and I intend Lo remain in
T u c t E Count~~
_ (a%?
Florida. permanensl,:
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f..s...,~ (J •
.N-, .
~l'.S.'~ S~
,
• j,, y
}t>
lllddrs~
Swotn to and snbeen'bed be'[a]re~m'e this daT of
A.D.19: J
,79
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R A CLERK OF CIRCUIT COURT
ST. LUGIE COUNTY, FLOR A - -
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BY: -
• L E R K anon 314 Pa~~ 1'r65 _ • .
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