HomeMy WebLinkAbout0532 4•'~.l.lCll GltVlt VI L1V1ili4rltG A~`ft.t VIItG.tr11J1i1~J
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FO THE CI.ERR OF T8E CIRCUIT OOURT. _ 4
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S3•~. LUC 1 E ~ COUNTY'. FLORIDA: .
~;~'!'bis is ~ deeLratioo eI Damie~s and Citisbasbip i+a the State os FloTida that I am lf3ms this dp is~aooordaaee. ind i>r
• eoalormitY with Seetioa 222.17. >"7o:ida Statute:. ~ .
- • I was !off alegai resided of ~ l ~ ~ ~~sY l Ll.~ _ ~ " sad I
tt~sl
resided at - .2 Z 2 ~ ~ -Rowe+ret. I ha+.a eb~anged av, domidle b
f8tr~etaoaATombae)
. in_ d am sad bsve been a bona Sde resident ottbe State alFbrida since ~ dad d
U lit I9~,. and I reside at - t ~~.1 ~ ? ¢
- ~1 ~2C~ ST. lUG i Es~..c„aN~
County F7arida.
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and this statement is b be taken as my declaration d dtizenship, actual legal resiuence and domic~r is the State of Florida.
Ii fOR THE PURPOSE OF ENROt.t.ING - li iOR- _HOMESTEAO PURPOSES
CHILDREN IN SCHOOIa-PLEASE STATE PLEASE CHECKS
THEIR NANESS
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~•HtS !S TO CERTIFY THAT HOr+ARD N. CLARK ANO kY wlFE, _
MARABEIl. W. CLARK HEREWITH DECLARE RESIDENCE IN THE STATE
_ OF FLORIDA AS 4F JUNE 27, 1979.
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I FURT'1~R CERT'IF'Y that I sv~ register at m~ local address when the regastiation boob rEOpen. and comply with a>1
other regaiseme~s ad a legal resident ad this Stste.
I FURTI~R GER1'1FR tb:t I have no intention to return to m7 iorme~ • domio~e, and I intend to remain m
_ - T~ U C 1 E _ Count,
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Faoriaa. pc~rmanend;. 4s(n.3s - -
l9~9 SEP 24 Phi 2. 54 - -
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ST. 1 E COI,MiTY,'° FL DU
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