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HomeMy WebLinkAbout1398 .r.- ~~C~ecta~'a~~aro o~r r~o~~iici~~ ar~u l,i~iL~i~S~~I~J 4`700'74 . la0 TflE Cd.ERK OF TAE CIRCUIT CO[JRT. S~~ L UC 1 E OOUNTY. F3ARIDA: , ~ `'This b mJ ~ of Domk~7e asd (blp la the State et Fbrida that I am 5>ias this daJ is aooordasae. sad is conformitJ with Section 2?2.17. F9orida Statutes. - - was forme a resident o[ ~ ,S ~ DY'~ W ~ ~ / `tJ f _ S D ~a sad I I rl k8a1 - resided at ~ ~l l a ~ ~~C - floweret. I bare chaaaed mJ dominle to lStr..t and N~mobasl and am and have been a bona Sde resident opt the Stste of Florida since ~ S ~ ~ ~7 ~ , ~C-~D~t l -19 andlresideat 1 ~ .,TS/~7~~~ilb ~~~3oa- ~Dy, 1d ~f-llA (8r:.at and N~b.d • Jr tiS ~ ~ ,g C ~ ~i _ ST. luc I E ~ti., - tC1eJl and this statement is to be ta)<en a, mJ declaration of citisensbip. actual legal residence and domia7e in the State o[ Florida. IF FOR THE PURPOSE Oi ENROLLING IF FOR HOMESTEAD PURPOSES, CHILDREN IN SCHOOL~-PLEASE STATE PLEASE CHECK: THEIR NAMES: fLEOAN~~,t;.~UEO >l~. LUCtF + FLA. . RQ;, c E ~ ~ _ raeenon a aim DFC 19 3 46 PM '7 q 4'700'74 I FURTHER (~R1'I>:'Y that I wr'D register at mJ loch address wbtn the registration boob seopen, and eomplJ with all other regoiremen4 a[ a 1ega1 resident of this Stan. I FURTHER CERTIFY that I hate no in atioa to return to mJ former domic~e. sad I intend to remain in T. U C I E ~ CountJ. 1(St~) Florida. permaaeati;. _ _ •ater~i•~ coot: T~, / ~~2~.C ••L ? ~ - - = ~ off.. ~ Savors to and sabs~iedi betare me this ~ daJ of ~ l - A.D.19_ _ ROGER POITRAS. CLERK OF CIRCUIT COU2T .LS/qNO( C'~U6• VNiT 30a ~ ST. LIJG 1 E COUNTY, f LOR 1 OA - • . EPUTY LERK