HomeMy WebLinkAbout0216 i
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~e~c~aration of aomi~iio and ~iti~anship .
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SY. LUC i E - r
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This to ~ dael.ratioe oI Domicils and ~ ~ tho Strata at h'lorids the I am ~ this dp ~ aeoo:d+~>ro~ aa~d to
ooa[onmi~ with Sestio~: g?i.lZ. b7oddR Stataoes.• - - ~ -
I was t~ s MEaI teeidsaR aI ~ .w t w r ~ and ~ 1
resided at b ~ t k • ~ p~g„ D l~ - - 8owvrer, I bsvs ehaegsd m0' domieAe t~ _ ~
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aad ~ and haw 6ess s hose Gds irsidsnt piths Ststs at~oeidastsea ~ ~ S ' Y dsT of _
1- 1s~..Xsz.. and I rids at a 4 0 0 ~ O C r• G A ~,t,~
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and this stattmsat is to be taken s mT dedaratioa ai dt~ansT~ig, a+dusl legal rssidsmoo apd domie3le is the Stye d Ffocida.. -
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IF FOR THE PURPOSE Of: ENROLLIMA ~ -iF fOR MOME5TEA0 PURPOSES
CNttOREN tN sCHOOL, PEASE STATE PLEASE CHE6_KS
THE 1 R NJIMES: ~ ~,~_„j
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- - , ~ - - - ~0 JAN 18 AM u= 43
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I FUATHEB G6RTIFY that I will register st mT loaf adde+sss wbea the r~atioa books nsopsa, aad eomp¢ with aII
other regeie+emeats d s legal resident of this State. -
. I FiJRT~ C~1':F7 that I have no _ intention to dun - to mT former. die, aad I iatead. to rem ie_
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.Coontl.
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F'iorida. Pecrosaendi
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Sworn to and~si~~etors ms this der of ~ / 1 / ii f Y' ~ A -
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Rt~Ga=R P8i TRASa CLERK OF C iRCUI T C0~2T -
5T. LUNG ! E CQUNTI, FLG~R 1 t)A -
EPU7Y t.ERK '
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