HomeMy WebLinkAbout0743 . _.....~.r ..y~._.....v.
DecTara~~on o~ ~c~rr~~c~te a~~~~~~~iiens~i~~~~~~--
456~3~25 .
~~a~xlc oFr~a~cn~cuhrcovlrr. .
_ S~ Luc 1 E oovrn~r, FI,oI~~:
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~ lbis b deeLration d Domicile and ~ io the Scat. at Florida that I am ~t tbi. dq is soooedaaee. and i.
. _ s.~ >~.i~, l~rla. stat~t~.
Iwas ~sksalresidentd c~ e~ ~ _~6~tJT(f cl~C~ an~ll
I e~ ~ teal tz~+at
raided d ~1,~-~•~+ ~ e,~ S't t ~Z - Aoweer.I l~a~rs ebanEed mtT domie~De to
l8v.ddNa.?.el
_ and am and leave been abona fde resideatdtbe State dFlorida a3ooe ~ 9 ~ da,~ d
u t K S t ,1! sad I reside at ~0 6 ~ ~ eX 20 a d
tsa..t..aH.~.l
~o-Yt i ey ce _ ST, lUG 1 E coaa~jr. Florid,,
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and ibis statement b to be taken as ap declaration d eit3sensbip. actual kcal resideaoe and domicile is tbs Slate d 1z'lorida.
IF FOR THE PURPOSE Oi ENROLLING IF FOR NOMESTEAO PURPOSES,.
CMIt.OREN IN SCHOO<a-PLEASE STATE PLEASE CHECKS
TNEIR NAMESS
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S S ~ YivN ~ E'f'C [~o1'ySa ~
lob e~• ~ Bc~~ a,.,;.,~ ~~so.~ 45i1~325 i .
- ~ 1919 AUG t7 1W ~ Ofi
_ ~ •
COURT
~ • R[CORO VERIF
I F'tJAT~ GT:RTg'Y that I w~ register at m7 loeai address when the reaistratioo books reopen, sad eomplT witk aD
other regniremeMs d a kgsl resident d this State. . _ -
I 1z'[JATI~ CER1'~R that I bave~po intention to return to mT former domie0e. and I intRad to remain in
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~
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. X06 13ya c x Koad
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Swoee to sad subsa~ed before me ibis ~ 7 daT d r'd ~ ~ ~ C y c E' , FL. <'u'~ ~ -
K C IRGUI T COU2T ;
J?,`.`Q~;;, ~v ;,,,I.;~*_
ST. LtJG 1 E COUNTY, FLOR t QA ..`,b • ~s " ~ -
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~R 315 PEE 741 ~t „s,,.,,.~ f.
BOOK ~ _ r~:~
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