HomeMy WebLinkAbout2666 ~ ~ ~ a.-
_a heGiai'a ~~~r~~ OY tai i~11C1IG a~1G l.:i ti~eilSl i1~
• • ~ 4'0900
'l001'1~ Q.ER1C OF TBE CIItCUIT OOURT. .
1
S~.. LUG 1 E OOVNTY. FLORIDA: ,
~ `;'This is aq dseLratioa a[ Domio'le and Qt~eaship ita the State at Florida that i am >lliaS this dq is aoooedanae. and is
_ ~ ~I_._..i?r ~.t.b @~.+:.... 999 19 T~,.~.:.~.
- wauw rr vw+...~ .
' I was i~ a legal rssideat d ~ ~ _ ~?/?D and I
raided at - Aoweser. I haw changed aq~ dominls to
tsw.~a.a>N~l
and am and haw been a bona Sde resident of the Stale at Florida siaoe - ~7 d
~a~ ~ ~/Pr~lr~ ~YEiYl~~
~c~ f 19,t~ and I reside at
j~~ i ` ST. LUG i E~~
Co~mtT. >r7orida. _
and this s4teme~ is to be taken as m~ declaration of dtizeaship. setual legal resideaoe and domia7e in tba State d Florida.
IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOI.,-PIEASE STATE PLEASE CHECK:
THEIR NAMES:
~ ~
199 DEC 28 PM 2~ t 3
~A aECatu~p
t couNr .f A.
. _ - CLERK gRCUiT A T
~~MM VERIFIED
4~osoo
Y
I FURTI~R CERTIFY that I wiD register at mT loin address when the registsatioa boob reopen, and oomplT with all
other requirements d a legal resident ad this State.
E
I FIJH1'>~R (~itT'g'Y that I have no intea 'on to return to mT former domicile. and I intend to remain in
I ~ T U C I E CouatT.
ItTa~)
Florida. permanend;.
a
a
7J ~
d: ~ i,..
- ~ ~ ! ~ :
` J\'~ .
fit` i O~
~ _ . ~ /Adder ~q L~~
Swarm to and snbaaz~`b!d betare me this g daT of JT(~~,7 ~T"
~ `eM,6 ek ~ ~ A.n. is: ~ E~M 2 k ~'ti~MHN
ROGER PO I TRAS. CLERK OF G I RGU I T GOt~2 T
•
ST. LUGIE COUNTY, fLOR1OA
• ~ ~
~ _ E P U T Y t. E R K ~ „OR s.~r /hSQ -