HomeMy WebLinkAbout1936 •
----uecta~ a~tat~e oY t~oci~icit~ ana V<<~~ensrii~
4'~A45'7
TO THE Q.ERK OF TIC CDtCIJIT OOURT. .
• -
S'~•. LUC 1 E OOUNTY: FLORIDA: r
TLi~ is mp declaration of Damia7e and t~Eti:enship in the Stale a[ Florida that I am 5}io~ tLie daT in aooo~danoe. and ~
_ roniormitT witb Section 222.1T. F'brida Statute:. _
_ _ I was io~ a legal resident of - I~V U n? i S S f I:'~I ~~N K S Gl~yc~~1 / ~ aad I
. ICtt71
resided at l
fv C ~O f~i 11d_~ ~y .1 ~ ~ V[~i - Hoverer. I Law chaaaed m~ domia'la to
IStr.et aad Nomberl
and am and lure been a bona fide resident of tLe S4te oiFlorida since a'~ rz~ ~ daT of
~ Prr _,,.19~ and beside u / D ~ D s D~d S ~r ~ V~ NO,
` 18a..t aed Numbed
~Ct~~N jl ~~~~J / j ~ ST. LUG 1 E co®t~, Fla~ds,
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and this ststemeat is to be Lkea ss mT declaration of dtisenship, actual legal residence and domio'Ie in the State of Florida.
Ii FOR THE PURPOSE OF ENROL. L.~NG IF FOR HOMESTEAD PURPOSES,
CH I IOREN I N SCHOOt_, • PLEASE STATE PLEASE CHECK: 1-~=--1
THEIR NAMES:
a. ~
f LEO AMA ~ ~ ~~OEO
sI~- WCIE ~ ~ FLA.
r
w. RGC _ ~ S,oT O
V141. r. ~ i . X••J ~
DFC Z~ 3 36 PM ~7~ .
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I FURTHER CERTlF'Y that I w~ register at mT local address when the registration boobs reopen. and oomplT with aD
other requirements of a legal reaide~ ai this State.
I FURTHER CERTIF7C that I bare no intention to return to mr former domica7e. and I intend to remain in
• T. U C I E. Count.
_ 71 -
Florida. permaaend~.
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J\r, r•. . .y~i ~ ~
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f . l <-r D S lid S
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Sworn to w - before me this ~ daT of Q F_ ^ i 7 d 3 ,
_
. A.D.19_ ~9 Vic. R. w; ~sso w). ~ -
I ROGER POITRAS. CLERK OF CIRCUIT COURT _ .
E • . -
I ST. LUGIE COUNTY, FLORIDA
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. E P U T Y L. E R K UR ~27~ ~ V-