HomeMy WebLinkAbout0346 -
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~p T~ Q~ERR OF TIC CIRCUIT COURT.
5~.. Ll1G 1 E OOUNTY. FLORIDA: -
~~~-~'6i~ is nqI da]a:atioa of Domie~e ana Qitisersbip is the State d F7o~rias that I am flips this d~ ia~aooo~aanoe. and is
COIIt~ with 2?3.17. FIOa~di statntea. _ -
w - - • I wss i~ a legal seside~ a[ / ~ / h /k 0 NO't- - ~ and I
tCw)
L,3 c7 SO V %~s ~ ~ s~iC'c~C% However.Ihaw ehnnged m7 domiule to
resided at 7 -
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.and am and l+sve l+vea abona Sae sesident dtbe State otFlorida ainoe l Se ~ ~ ~ aaJ d
19 ~ and I reside at
_ i8a.~tsadNombed
, P ~e - . ST. LUG 1 E County, Fbrida.
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. ana this statement is to be taten as my deelaration of citizenship. aetual legal resiaenoe sea aomia~ In the State at Florian.
If fOR THE PURPOSE Of ENROLILING If FOR HOMESTEAD PURPOSES
CHILDREN IN SCHOOt.~-PLEASE STATE PLEASE CHECKS
THEIR NAMES: _
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• 1919 SFP 21 P!~ 2~ j:0 - f
r'- F lE0 ANQ k±CGisUi.U
S~ IUCIE COUt1iY.FlA.
fi06E.R POITRAS
- CL~tK CIRCUIT COURT
p RECORD YERIFiFJ~
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I F[JRTHFR CERTIFY that I w~ remoter at m7 local address when the registration boobs reopen, and comply with all
other s+egoirem.mts d a legal ~e~ of this State.
I l:'[1RTll~ ~R thst I love ao intentaoa to retm
n to mJ former domie~e. ana I intend to remain in
_ U C E CouatJ.
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Florid,i. permznend;.
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Savers to and sn befoze me this ~ / daj of I
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BY: - - a
. EPUTY t.ERR 3~ - - _ -
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