HomeMy WebLinkAbout1684 Declaration. of Domicile and Cifiizenshi
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S04'723
TO ~ CI.ERR OF TIC CgtCUIT COURT.
ST. LUG i E Cpv~y, ~,O~A; ~ •
_
• Tbis b m,T dee]aration of Do®ia'Ie and Citizenship in the State d Florida that I am 8lins this dq is aooordanoe. and is ~
• ooalamitT with Section 2?2.1T. p'lorida Statutes.
l wa: i~ a legal resident at ~O U 1,- D r R ~ C o~ d R i4 0 U and I
iCit~C - 18taW
resided at I ~ ~ -S ~ a N~ • S i - However. I Dave changed m4 domieds to
tea..caa>Nee.r~
and am and Dave been a bona 5de reaideat d the State d Florida aiaa g Ty dy d
/Q V G U 57- 19~,. and I reside at .3Sa S S • .Zn/OlAN ? F R jj,P .
tt~.tl i~l®brN
1=% . I"ifRC ~ ST. LUG I E ~
ttaa~~
and this statement is to be taken as m~ dee]aration d citizenship. adnal legal reaidenoe and do®io'ie io tbs State d Florida.
" IF FOR THE PURPOSE"OF ENROLLING. IF FOR HONESTEAO=PURPOSES,
CNILDREN-IN SCHOOL, PLEASE STATE PLEASE CHECK:
THEIR NAMES:
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_ RU81n/ ~ULi~j'R~V
_ ~ i3~o eci 2~ ~ 2~ 13
_ _
S:.IUCIE f.CL•N. Y.f t
R(IGER POITRAS
CLf RY CIRCUIT CC JSi~
a~cM~ ? 1irt~
i
I FURT~ CF.tiTIF'Y that I w~ register at Imp local addre_ se when the seRistratioa booDa reopen. and eon witD aD
~ aRDer requ~s d a legal rasides~t d this State. j
I FURT~ t~Tl»C that I Dave m inteatieo to retean to taeaier damia7e. and I intend to :emaia is
_ U C 1 E _ CovatJ,
_ ta~ci~
F7ariaa. rte;
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3So5 S. 2~O~i+ti R~v~R ~
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• Sweea to saed sobsQlbed before me thus --f-- dad of . f' I ~ R C E. j-L •
. !
ROGER POITRAS. CLERK OF CIRCUIT CO~ItT , ' t
ST. UG i E COUNTY, FLOR 1 DA
• - •
- BY: _
_ _ E Pu Y K
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