HomeMy WebLinkAbout1929. t _
Declaraiion of Dor~i~ile and Ci~izenship
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~ 511'742
TO THE CI.ERK OF THE CIRCUIT COURT.
ST„ LUC I E ppU~y, ~,p~A;
Thts js m~ deelaration oi DomieDe and Citiseoship in t6e SLte oi Florida that I am SIIng thl~ da~r in aocordanoe, and is
conforcait~ ~vit6 S~etioa 222.17. Fbrida Statutes. ' ~
I~as formerl~ s legal resident ot ~ _ /1~ ~-~ and I
. 1 IStat~
resided at -~ ~- , Aowever, I bave ebanged n~ domic7e to
(Svsst and Namber) '
aad am and have beea a bona 5de nsident of tbe SW,e of Florida aince ~~ da~ d '+.
-~ 19~U and I reside at ~l~ ,~-'1.~--s-_~ _~ ~~~J
tse~..t ax~e.~ .
~ _, ST. LUGIE ~,,,ti.~;~
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and this statement is to be takea as m~ dedantion of citiuaslup. actud legal nsidenee and domicile in tbe State at F7orida. .
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" IF POR THE PURPOSE Oi ENROLLING IF iOR HOMESTEAD PURPOSESi ~
CHIL~REN IN SCHOOL~ PIEASE STATE PLEASE CHECK: i
THEIR NAMESS ~
~ 19E0 OEC 29 AM 11= 06
- •~ fILEC RNC F~~~p ' g
51,LUC~ CCUNiY.FIA. ,
ROG~R POITRAS ; ;
~ CLERK CtP:L'IT LG1lRj~ , y
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~ _ 511'742 ~ -
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I FIJRT~ CERTIFY tbat I w~71 register at m~ lou) address when tbe registratioa bool~s reopen. and oomp~ writ6 a11
other requiremenb of a legsl reaident oi this S4te.
I F[TRTHEH CERT'ff'Y that I luve no inteation to retnrn to m~ tormer domieik. and I Int~end to remain in ~
, ~T~ L U C 1 E Cp~~~
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F7orida. permanenii~.
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~='`;~;~;L,:_:..=;:=, "~ ~o ~ ~•ma i
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S.vorn to and snbsesibed before me this ~ da~ a` ~t ~~LL - _
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~ A.D.1~ ~ -
ROGER P01 ?RAS* CLERK OF L IRGUI T COt~2T
ST. LUG 1 E COUNTY, fLOR 1 OA •
BY: ~ ' . . .
-~i~~-.~ .
~ UEPUTY I.LERK •
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~3?~5 ~~1~28
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