HomeMy WebLinkAbout1856 ? UI tJl:tlti~ .':iit! ti.itli~vl~:Jlll~.J /
~b~"711
~O THE CLERK OF THE CIRCUIT COURT.
S~. LUC i E COt,TTITy, FLORIDA:
~ 4'his is mJ decLration of Domict~e and Citisenship in the State of Florida that I stn filing this daJ in aewrdanee, and is
eonfortnity witb Section 222.17. Florida Statutes. _1
' I was former$ a legal resident of p }1 ~ n ~ ~ A -and I
lGl't~) (State)
reSlded at I V "~~\nG ~L` _ RUwtvci~ liiLL~ ~uSudG.: uj d~.r
-_~e
(Street and Number) '
and am and have been a bona Sde resident of the State of Florida since n_m tAS~c~Q ~ ~ dal 01
I ~ _ 19~~ and Ireside at -J~l t ,.;J S ~ ~ , p p t
(g d NnmbQ)
PQ 5 A-~ •1 ~ ~L~ t _ _ ST . L UC I E CountJ, Florida,
_ tc~) _
and this statement is to be taken as mJ declaration of citizenship. actual 1ega1 residence and domide in the State of Florida.
IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL,~PLEASE STATE PLEASE CHECK:
THEIR ~iAMES:
s
;3i9 ~'C~'1 -2 P''. 2~ 12
ftL~n RhC ft
ST.tUC1E CG,~:~jY.TL:
ROGER _piTit,.~
Ct_Ei~K CiRLU!T L='~'~ _
~4~~'711
r
I FURTHER CERTIFY that I wt~D register at my 1oca1 address when the registration books reopen, and camply with all
other requirements of a legal resident of this State.
I FURTAER CERTIFY that I have no int,cntion to return to mp foster domic~e. and I intend to remain in
J T L V L I L COt1Dip.
Florida, permanenti;.
_ . ,
_ (Tiame)
' .x _r-.
Sworn {dxssd s>ilbd~r`bed before me this ~ day of
79
ROGER P017RAS. CLERK OF C IRGU 1 T COURT _ . .
ST. L I E COUNTY, f LOR 1 DA
' -
BY: -
E P U T Y J E R K ae K fJ1V PasE 18~~•
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