HomeMy WebLinkAbout0578~~C~~~~'al:[C~ll Q~' ~~['t~IGIE(: c'~C~(.~ ~[~i~~Ct~SIIIf~
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51446'7
7'0 THE CLERK OF THE CIItCU1T COURT.
ST. LUG t E coviv~r, ~.oRmA:
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This is m~ declaration oi Domic~e and Citi:easbip in tDe State of Florida that I am fling thjs da~ in sc~orduaa. and in
conformit~ ~it6 Section 22Z.17. Florida Statute:. ~ .
I v~ as formerl~ a 1ega1 resident of // - -/~-'' j C~1-/~ and I
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re s i ded at ._. G r ~~ G~ ~_-' Hoa ever. I bave ebanged aqy domic~e to
IS•.rcet and N~bet) -
and am and have beea a bona Gde resident oitbe Stale of Florida sincr ~ •-~~~ da~ d
J~xd/ ~`1 -19.d v and I reside at ?'-~~~ ~~-- i~~~
(/ • v lStreei aad Numbar)
~ ~ ,~, ,~~.r~ ~:_ ST. LUG 1 E ~
, Count~. Florida.
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and this statement is to be taken as my deelnratioa of citiunship. actual 1ega1 residenee and domie~e in the State of Florida.
~ IF FOR THE PURPOSE OF ENROIIING
CHILDREN IN SCHOOL~ PLEASE STATE
THEIR NIIMESt
IF FOR HOHESTEAD'PURPOSESi~-
P~EASE CHECK: ~
~
~981 JAt~ 21 P~i 2~ 12
F!lEC RN[ ~E C:-~+i1F0
5 ROGER PC TRA5~
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51446'7
I FURTHER CERTII~'Y that I v~11 register at my loca] sddress when th~ registration books reopen. and wmpl~ witb aD
a:fer mquiremeats of a 1ega1 resident of thiS State.
I FURTTiER CERTIF'Y that I have go intention to retnra to m~ lormer domic~e. and I intend to remain in
f~' ~' ---~r~-~ ~ 'T * L U C 1 E . CountJ.
l(~tj) ~.i
Fiorida, permanenu~.
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ROGE ITRAS CLERK - ~ ~
* OF G IRCUt T COt~2T
ST. LUCI E COUNTY, fLOR 10A •
BY: ~ I
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EPUTY I.LERK
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- _ BOOK 347 P~~,~ 5~5 ~ ~ ~ _ ~
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