HomeMy WebLinkAbout0251 _ - - ~
{ _ _ _ .
r `
.
i
- _ - - - -
Deci r t~or~ ~ D ~ ~ .
a a . _ of a~nic~le aid Gitizanship
. 4'75~Q5
To~ac~a?>r~ca~cui~oou>rr,
ST„~ lU~ i
E QOUNrY.1RARIDA: .
This is ap ded~ratio~ of Doadeile ~ iw the State d F9orida tl?s! I aA ~ tbk dq in soooedanoe, and k
ooaiaemiq wits Seetio~ EilE.1T. !'loeida 8tatates.
r L i~ i ~ '
I wasf r s k~l raideatd L E ti. ~ ~ lU ~ w = f a r j~ aadI
lClgri (eqW
reaidsd a S` ~Lil
c ~ ~ Pe n~Yc ~ ~W Howewaer. I base eba98ed mT doaaidM to
ISterstaaiN~asMr!
and nun and have been a boon Bds raaidesR d tbs Stags d Florids nines ~ ~ ~ dy d
.19.,•.. and I reside at
- ,~a~• Sf---~e'P - ST. lUG 1 ..ax..e.h
tt~4f Camti. Flaida.
end this statement is to be taken at aUr declaration d dtieeaabip, aetaal ksal residence and dom3dls in the State d I.7orida.
-
IF FOR THE .PURPOSE Oi ENROt.LtNG If FOR HONE8TEAD PURPOSESr
CHILDREN IN SCMOOt., PLEASE STATE PLEASE CHECK:
TMELR NAMESt
S~ t-ti H ert ~ ~ 1 1 J~ G~.c~ rG
~ fE6 -4 PM 2 I S
- ST~~COINITY. A.
. CL RK CMtCINT t~N~
. ItEC0R8 VERIFIf.O
- 4'75005
I F'IJATfffii ~B'PII~'Y that I wID r at a~ local addeaaa when the ~ boob reopen. asd eompiT wkb aD
other requiremesta d a kcal resident d tbb State.
I P'tJATI~t (RATIFY tbst ~ _lnre no issentioa to return to nn~ former domkile. and I intend to remain is
- ~ - -
_ (t,741 . Const7.
Fbeida. permaas~,•. ~
. '
~
z
.::j ~ x
.,j ~ .
W
~t?u~~ta«>>
p iA~+aAI
Swan to and a~baeskad 6efae+e ms this _ ~ dsyT d - T .S ~ ~ tc ~'i Z' , /~``~.q ~,r
fir.
PO1IRAS~ CLERK OF C,IRGUI T CO~iT
ST. 1 E COUNTY, fLOR tOJI
- _
EP Y LERK
- - ,
- -