HomeMy WebLinkAbout1034 .
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• - - 469830
700 Tl~ Q.ERR OF 7~ G71tC[J1T OOURT. ,
STS. LUG 1 E ppt~y. FipRIDA;
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'This is m~ dee]aratioa o[ Dade gad Citiaeaship is the Stets d >E7orids that I am Elias this dq is aooordaoee. and is
. _ oanto:mit~ will. Section 2?2.1T. Florida Statatss.
~EN/ ~~ns~Y andI
- I was l~rl a ~ resident d ~A L~ WELL _
tc~l . tsWal
resided at ~ l LL.S/ OG AYC - Aowever. I haw chanced da~ide Lo
t8tied cad Nasbed
gad am and have been a bona Ede resident of the State d Flora since -r/ Y T~ daj d
. ~l A U l2 ~ _ 19~. and I reside at 1 l ~A Y.SNd~?L~ //~~YE .3 0 ~ "
laa..R..dH.~l
• boat ~E,p tC ST. lUG i E Coati. -
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and this stateme~ is to be taken as mT dee]aration d dtizsnship, adud legal residence and domio7e is the State d 1r7orida.
IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL,•PLEASE STATE PLEASE CHECK:
THEIR NAMES:
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r LEO.M:: ~Eo
RO':' '.5
CLER? , ' ; ~UAT
- RECOF-. ,r..~c)
~ ~8 ~ ~ 11 AN
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I F'tJRZ7~ CEftT)FY that I w~ register st m~ loch sddress when the registtatioa books reopen. gad oamptT with all
other regniremeats d a legal resident d this State.
I F[1RTSER t~tTg'Y that I have no intention to return to m~ former domiale. and I intend to remain in
,
T_ U C I E ~ C•onntT.
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Florida. permanend;.
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_ VJ ~f: •'c;ea' C,OG ? 'U~I~U'~, ~%I~~Z"'vvl'
~G••.,.•. ~ 02. (Name)
~'c co~~Tr . F`'
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Swore to gad sobsarbed before me this ~V dad aS
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A _ /~.D.19_ 79
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ROGER IZRAS. CLERK OF' CIRCUIT COURT „ . .f
ST. LUGIE COUN?Y, FLORIDA -
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BY:
EPUTY LERK s
- Bow 22 Pa~E1