HomeMy WebLinkAbout1002 - _
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D ~1 ration of Domicile nd Citizenshi ~
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TO THS CLERK OF TH>r CIRCUIT COURT.
ST. LUG 1 E COUNTY, FLORIDA:
This b ap declarittion at Domidle and Citiasaship io the Stite at Florida that I am liltoE this dq in aooordana, and is
conlarmitT with Section 788.1?. P7orida Statntas.
• Iwasle akgalresidento[ Woodstowa New Jersey sndl
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~ P.. D . #1, Fox Rd . , Box 351 _ However I have ehaagsd domidle to
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and am and haw been a bona fide resident et tbs State of Florida since 8 - da,T of
January ~1~ 80 ~~I~ Apt. 58, 1315 P.ayshore Drive
(BtrMt ssd N..e~
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ort Pierce ST. LUC I E Fla,
sad thb statement is to be takes a. a~ deelsratioa at.dtiaewhip, aetnal Isasl tr.idenos and domidle in the Stste of 1!7oeida.
IF fOR THE PURPOSE Of ENROI~ING If fOR NOMESTEAO PURPOSES
CHIIOREN IN SCHOOLS PLEASE STATE PLEASE CHECKS
THEIR NAMESS x
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F EO AtiO Rf COR~E`O
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CLERK CtRCtNT
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4'75461
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I FURTHER CERTIFY that I w~71 register at mT local address wbea tbs registration boob reopen. and oomp~? with aU
other regnireme~s of a legal resident of this State.
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j I FUR'!'HER CERTIFY flat I have no intention to return to mT former doaoia`k. and I intend to remaum in
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Fbrida, permanaatl~•. .Q
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k~%- ' ~'L~.~ ntoinette G. alone
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-grworatoaadsnbeaibedbefacemetlda_~daYa[ Fort Pierce, I'la. 3350
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R AS IRCUI T COt~RT j
ST. LUGIE COUNTY, fLORi - •
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BY S .
EPUTY JERK
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