HomeMy WebLinkAbout2382 _ ~
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ec aration- of l~ornic~le at~d C~ti~e~ship
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TO THE CLERK OF TAE CIRCUITCOURT. -
ST. LUG 1 E - oovxrlr. FLORIDA:.
This is nqT declerattm~ of Doonicile and t~tisenship in the S'.ate of Florida that I am ~6 this da= is aeoordanee. and is
ooofarmity with 3edion ?Id'.17. Florida &atatee.
- - I was i rm a legal reeideot ai R c~ l~ ~c - . - .S f ~ and I .
D tC141 - 181+~i - -
residsd at - rt f - ~ g ~ - Howerer. I bare changed app domia'Ie to
lekwc.ai x•:me.e~ -
and am and have been a bona fide resident of the State of Florida since ~ ~S ~ dat d
-J u M E' ,1S c^ ana I reside at _ ~v/ a W ~ S' 7 ~ /TV~' i
~a~ ~ I /~•C
~.L! ST. l.t1C t Eew.c..~H..~
and this statement is to be taken as np? declaration ai eitisenship. actoat legal rasidena and domic~e i the Rtate d Florida.
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- ii.fOR~TME PURPOSE-Oi ENROLLING .Ii FOR HONESTEA~ PURPOSES,
ClII~OREN IN SCHOOL, PLEASE STATE PLEASE CHECKt
THEIR NANESS
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I FURTHER CSRTff'Y that I w~ regisder at aq local address when the ragistrstion boob t+sopea. and coargb with all
other r+egnircments d a legal r+esidant a[this State. - -
i FURTHER CERTIFY that I have m Intention to retmA to former . and I intend to remain in -
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$~iior~iYfbr~ snbscn'bed before me th» ~.r des, d _~i~ra ~~li .
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A ERK G RCU! T - Ot~2T
- ST. - l i E COUNTY, fLOR f UA
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BYs - ~
EPUTY LERK
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