HomeMy WebLinkAbout0245~~claraiion of aor~ic~te and Cifizensfiip ~~
' ~ S] 25~8
TO THE CLERK OF THE CIItCUIT COURT.
ST . L l1G 1 E ~pt~y. ~t,pRID~; '
This is my deelaratioa o! Domic7e and Citiaenship in the State oi Florida that I am filing this da~ in accardance. and in
conformit~ witD Sectioa 222.17. Florida Statutes. ~
I R•ns lormerlv a legal resident oi ~~,~1-s. ~~ _ ~/ and I
~ ~/ / ~ ~ ~j ~ / IC'it~) IStaitl
resided at ~~ ~ , Aowever. I have cbanged my domic~e to
tStres2 aad N~ber)
and am and have been a boaa Sde resident of the Stste oi Florida since ~ ~ day at •'
~ a-~'V ,19 !~ ' and I reside at ~~~ f S~ 7`hd r/~( ~ r
(Stmt and Numbe~)
~b~ ~ ~(' ~P _ , ST. LUG 1 E Co~t~. ~oria~.
tc~c>>
and this statemeat is to be taken as my declaration of citizenship. a~ctual legal resideace and domic~e in the State oi Florida. ~
r
" iF POR THE PURPOSE OF ENROLLING IF FOR HOHESTEAD PURPOSESi
CHILDREN IN SCHOOL~ PIEASE 5TATE PLEASE CHECKS ~~
THEIR NANES: .
i9ei ~-,~ -7 ~ ~~: 23
~` FiLfC Rk[ ~c+:OFCE G
- ~ SL WCIE CCUN i f f ~ a.
- ROGER POtTRAS ~
CIEkK CIR~U:i CCJ~'
- Rif.~A!; 1'~F"~''"' ~_
U
~ _ S~ 2,548
I FURTHER CERTIFY that I w~71 register st my local address when the registration books reopen. and compl~ with aD
other requirements of a legal resident of this State.
I FLTRTHER CERTII~'Y tha~ I have no in ntion to return to m~ former domic~e. and I Intend to remain in ,
~~~~ , J T. L U C I E Count~.
(Grt~) .
F'lorida. permanenu;.
`~ _ '•' . .
-~~. ~
~. '.~•'~ `~~}~',/ ' , ~ . r _ ~
. 'j '-~•'`'~~}; 5.,~ •{ .
~~~~~~-- ~j:
~, :~'s~ ~ ~ r
. .~~,-:.•- . .
.%~~' .
~,~ ~~~c.~/
7.~r/ s~ ~ho~;~~,// ,~~-
(Addrw)
~or~'f- L ~tc ~e . ~/ ~ ~ s~ sZ,
,
Crnr~2y ~ w~ ~t~cK.>.
Sworn to and subsm"bed before me this ~~ dsy oi
~ ~ ,~D.. /98/
ROGER P01 TRAS, CLERK OF G i RGUI T COC~2T
ST. LIJG I E COUNTY, FLOR 1 OA -
. ,
BY: ~ Q..o--~.~,e~ • .
_ EPUTY I.~ERK
; ~ ' 60~K J~ PAGE ~~3
- -~ ~, _ .
,~yr.- - - .;
~-~~.~ _:
..
. .~~
. .~
. .
~ .
. ~~~
-~ ~.~- {~-_ _~