HomeMy WebLinkAbout1843 C~ec,iaraYion oY Uornic,tte and L~~izenship
100 THE C~t.ERK OF THE CfltCUIT OOURT.
-5'~~ lUG 1 E OOUN1'Y. FLORIDA: ~
~ `;Phis is aq declaration of Doaaidle and taitizea~ship Ia the Stag of Florida flat I am 8liat this dq is aooordanosr and i•
coniormif,~ wits Section 222.17. Florida Statutes. -
I was i~ a kcal resident d /1'i
!l h ~ /T t% _ ~ ~ ~t- and I
nnor e,' IL'I~71 tss.w
~ a2 (.i G7? It a ~ - flowerer. I law ehanS+sd nU domic~e to
t8tr.d asi P1amL~r1 -
and sm and have been a bona fide resident of the State dFlorida since ~7` daT d
19_.~.. and i reside u c~Jr~ S. lcJ• G ~ c rr u ~ ~ •
. roa..c..arr~t,.a
. S~. ~ N G / G _ ST. lUG I E Coant~r. Florida.
tL'~l -
and this statement is to be taken as mT declaration d e3tiseuship. actual legal teaidenoe and domia'k in the State d Florida.
IF FOR THE PURPOSE Oi ENROL.t.INC IF FOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOt.a PLEASE STATE PLEASE CHECK:
THEIR NAMES: -
•~a 1~1~a~ orvcrs '
S~~D hQniF~ ~~Qrrt~ /cgowers
456'7
1/ J'! i ct n ri 0 u~tYS 4
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'15T9~.AUG a3 'P!I l~ 09
~~+e~~°Fi9?.
~~oirRas
OLl~gRCUiT COURT
RECORDIIERIFIEO
f
I FURTI~R CERTII''Y that I w~71 register at mT local address when the registration books reopen. and oomplT with all
other requirements d a legal resident of this State.
I F'URTI~R CERTI>E'Y that I have no intention to return to former domicDe. and I intend to remain in
_ , ~ y c 1 E Conat7..
lCid~)
Florida. permanend;.
_
. ~b~OUlyTy -
~w
• • a~ ~i
v t cn
~ c~
w
S'
I `~s ~(„r
sworn to and sabser~'bea betof+e me this daT of
9
~A.D.19= •
_ ~ ~ ~
ROGER P01 TRAS, CLERK OF C 1 RCU 1 T COURT
r J
r~ • ' •
ST. LUG i E COUNTY, f 1_ A
~
BY:~~ e
• EPUTY t.ERK a~nx3~,~ PA6E1~
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