HomeMy WebLinkAbout0309 Declaration of Domicile and Citizenship
TO THE CLERK OF THE CTItCUl1' OOUAT, 5t)~i~0 c
ST. lUG i E ppv~y, FI,,O~A;
This is m~ deeLratioa oI DomieDe and is the i3tat. of F7orids that I am 81iaE this da,T is >rooot+danoa and in
. eoniormit~ with Seefioa 7.?2.17. Plaids Statutes. L /s
I was f
~ a legal redident d ~~P ~5 TQ~d Cwt )1 ~(1Y 1~ S C~ and I
resided at ~~a1 aZ, COVe Y L-an ~ RR~) _ $awever. I haw`ehanged m7 doomic~'k w
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end am and have bees a boas rise resident of the State oiI'7orida siaoe ~ ~ ~
_ D?SLl~h? .c.PJs -19_.t~.l. and I:wide at
- Ya ~ . F~ri;la.
ST. LUGIE
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end thb statement b to be taken a. n~ deeLratioa oI eitisenship, aetoal kcal :esideacs and domir~ls is tbs &ste d Florida.
_ iF FOR THE PURPOSE OP ENROLLING IF FOR NOMESTEAO PURPOSES
CN I t.OREN 1 N SCHOOt.~ PLEASE STATE PLEASE CHECKS
THEIR NAMESS
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1980 HOV -4 AN ~ 36
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- ST L11CIf CC'.f?iTY.fLA.
ROGER f
01TRAS
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I F'[lRZ'ITEB CERTII~'Y that I will register at m1? local address when the registration books reopen. sad eompij wKh aD
other rcgniremeate of a legal rea~idept d this &ate. -
i
I F41RTlIF.H CEti1'II~R that I hale no intention to :etasn to former domieDe. and I intetd to remain is
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Sworn tosad sobeQ~ed bsfare are this ~.~dq of ~ G~
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.ROGER POITRAS, CLERK OF ~iRCUi T COt~tT .
ST. LUG1E COUNTY FL tOA
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