Loading...
HomeMy WebLinkAbout1284 ~ Daci~ra~ia~ ~::~~:rl~c:~ ~ 462393 TO THE CLERK OF THE CIRCUIT COURT. ST. LUG i E COUNTY. FLORIDA: . ' This is~y deeLration of Domie~7e and Cttisenship in the State of Florida that I am 51ing this day in aeoordanoa. and is conformity with Section 222.17. Florida Statutes. I was lormerl a kg:l resident ~ 1~ % ~ c .i f ~ / _ ~ ~ ~ ' and I (Cyty) ~ 3taU) s resided at ~ 1 ~ `r ~ l % i ~ ~ - _ Aowever.I bave changed my domietle to (Strad and N bar) and am and have bees a bona fide resident of the State of Florida since L dal ~ ?r~r[• / .19 ~ ~ - and I reside at ? ii/-~A ' ~ G ~ ' rte'/,' / / ~ r C L' / < (3tied and Nnmbarl / ~ % r- ~ , ' r' ~ ST. LUG I E County. Florida, «xcyl and this statement is to bt taken as my declaration of citizenship. actual kgal residence and domiet7e in the State of Florida. IF FOR THE PURPOSE OF EHROLLiNG iF l:'OR HOMESTEAd PURPOSESa i GHIIOREN IN SCHOOLr PLEASE STATE PLEASE CHECK: THEIR NAMES: :~?i9 OAT 12 ?.z~ 39 FlLEU AhC H~CGiti~tD ST.LUCIE CGL•YTY."Fl i.. ROGER POITRAS Ci.ERK CIRCUIT CCURT 462393 j I FURTHER CERTIFY that I wt71 register at my local address when the registration books reopen. and comply with all other regairemeats d a kgal resident of this State. i t ~ I FURTHER CERTIFY that I have ao intention to return to my former domicile. and I intend to remain in r. r T. U C 1 E ~ County. (Cats) _ ~ Florida. permaneati;. a ` 1 ' .LO~tCel~t`J ~O IJ ~1r•`~ ~ r" J ~ ~J:.r .C' ` z , `L LPL CN ~r~' ~ 'v~j t.`•.: !o~ .=l~~ L'-City ~ ~ ~ _ l~l- y • • ,~~8 (Name), f,~G,~ry c~-` ~ ~ a ~ (Addrsaa) 3 Sworn to and anbsrn'bed before me this r day of 5 ' i ©C;GA-T~til~t - - A.D.19_ ~ . ROGER P01 TRAS. CLERK OF C IRGUI T COURT ST LUG 1 E COUNTY FLOR t OA - _ BY: _ . EPUTY LERK _ ^ ..r