HomeMy WebLinkAbout2542 _ - . _ _
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ST. lUG 1 E OOUNTY, FLORIDlL• -
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TRis~ia'boT d"~eLratioa d Damk~e aad Qttiaeaship is tlN State d Florida that I am ~i tbia dp is aooordaooe. and m
eontarmiq wtt>t Seetios 222.17. Florida 8tatutss. - - -
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Iwas ~akgaltd ~ D andl
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resided st ~ • Yh A r /1 ~ - - Ha.esr, I haw ebanaed mT domieifs to
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_ and am and bays bees a boas fide resident d the State d Fbrida since q - - T 9 dad d -
~ . lY...!! aad I reside at ~13~ .~l]
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~ rP C L°_ ~ ~~3TS"d ~ ST. LUG I E - Coadj.I+3orida.
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aadt~is statement is tQ be ta><en as ap decLratioa d dti:enship. actual legal residenos and demieile is tbs Stets d Florida.
Ii POR THE PURPOSE OF ENROLt.ING !f FOR HOMESTEAD PURPOSES,
CN I t.OREN I N SCHOOL, ~ PIEASE STATE PtEASE CHECK:
THE1R N_AMES:_ _
v ~ II
' i
- - 1979 OCT -4 Aft lt~ 00
~ Abp-, ~ _ - _
FILEpo 1?ND FECtMIkD
ST.`t1CIE Cpp~~TY.F A
ROGER POITRA~
- - CLERK CIRCUIT Ct~ _
RECORD VERIFIED-
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I~'UIiTHEK CERTII~9l that I w~71 register at m1 loeai address when the registration boob reopen. and oomplT with aD
other requirements at a kgal resident d this State.
I FUItZ~ CER1'I1`'Y tbst I have no intention to return to former domin7e. and I iatead to remain m
_ T . UC t E _ Couatj,
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Florida. permanend;
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!!;;'`.aoaad`~~'J`° beforemetbia as d _ - '
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Oc7aBe r - ~ - A.D.19; ~ = R g i/r jct Ra. le r5
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ROGER PO! TRAS. CLERK OF C ! RCU! T COURT
ST. LUGIE COUNTY, fLOR10A
BY:
_ EPUTY LERK -
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