HomeMy WebLinkAbout2146, !
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I'i ~ e a a ~on of Dorniciie and Citizensh~
p
' . . 5] 1~888
TO THE CLERK OF 1'HE CIItCUIT OpURT.
ST. LUC 1 E ~pU~y. ~,p~~
~~
Tbis ~ m~ decluatioo ot Domtc~e and CltizensLip in t6e SLte ot Florida that I am fling this da,~ io aaordance. aud is
oonlormit~ wr~tb Section 2?2.17~ Florids Statutes. '
I~vas formerl~ a legal resident oi T-'~ -~~ ~ n ~~:~ ,~ ~ ~~ T n d~~~ n a ~ j
. IAt~1 ISas~i
resided at 1416 i_z u re 1 Aowever. I bave e~nged ~ domic~e t,o
(3treet and N~D~
and am and have been a boaa Sde reaident oi the StaLe of Florida sina ~ µ c~ .1 s t 4. 1975 ~ a[
,19 andIre~deat 1i6i Proctor L_an~
(8t~e~t and Numb~rl
~OIt ~t . T.Lri n S 1. LUG 1 E Counc~. ~OTI~i.
~~~
and this statemeat is to be talcen as m~ declaration of citiunslup. attual 1ega1 nsideaee and domicile in the Stat~e o~ Florida.
~
" IF F'OR THE PURPOSE Oi ENROLLING
CHILDREN IN SCHOOI~ PLEASE STATE
THEIR NANESS
~
- .~
1950 DEC 30 PM 12~ 34 ~
FILEO RNC FECORREO ~
S ROGER P01 i RA5 ~~
CtERK CIRCUIi C(1!{RT ~
sEr.r..~ ~~~ ^~~~f '. _ ~~
f
5~.~.88g ~
I FIJR1~ CERTl~'Y t~at I w~11 register at m~ loc~ address ~vben the registratioa boolu reopen. aad oomp~ w-it6 aD
other nquiremenb oi a legal resident oi this State.
I FURT~iER CEA1'ff'Y that I have no intention to retnrn to m~ lormer domie~e. and I Intend to remain ia
'-- --- bT * L UG t E _~~.
lC'+t~) .
Florida. permaneat~~.
~ g'- C'OU/yl,'
J~~ k~'`~c~
c, : : o
. v~ _~,
~,~~ fy~
`~~F OUNiY~.t~'O~!
sworn to aad sabsQ,'bed betore me tbis V~ da~ a~
.
. ~~- _ A.D. l$~ O :
ROGER P01 TRAS* CLERK OF C IRCUI T COtd2T
ST. LUG 1 E COUNTY, f LOR 1 OA •
BY: ,~~ .
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CG~~ _. IyE P U T Y r. L E R K
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~i FOR HOMESTEA~ PURPOSES~
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