HomeMy WebLinkAbout1926:~ • _
Declaration of Domicile and Citizenship ,
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515302
TO THE CLERR OF THE CIRCUIT OOURT,
ST. LUG I E ~pU~. ~t,p~A;
This i~ ~ deeLratios ol Domk~e and Clt~ensbip in tbe Stat~ al ~1a~ida tbst I am IDin~ tLis d~ is acoo~ed.na. and b
ocnfarramit, witb Seet3oo 2?2.17. Florida 8tatutes. • .
~ I was lormer~ a kgal resident at ~"~ ~Q~ ~ . /r y• aad I
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nsided at ~.~/ i~'~1 ~5 To.~':= ~ i ~'_ ~ Howe~er. I Iuw e~njed ~ doa~k~ t~
18tr~N aed I~Im~D~t~ ~ .
and un and liave bean a bons 5de nside~ at t6e State ot Fbrida ainoe ~~ e~i ~ 1'iy~ ~ d
~ ~=~~M~..-~ i~.,~,~ ~a i ~;ae.~ ~ ~ ~1 J . ~. ~i/rv'~aP ~ ~'F~. •~.-',~._
~ IBt~.rt aea Hosbi~l
~~.4.'~~s" ~~ fci:~ , ST. Ll1G 1 E ~~~
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and tLis statement L to be takeo as m~ deelaratioa d eitizensLip, aetud legal resideaoe and domic~e in tbs 8tate d 1~7ori~a.
" I f iOR TME PURPOSE -OF ENROLL ING
CHIL~REM IN SCHOOL~ PI.EASE STATE
7HEIR NAMES:
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IF FOR HOMESTEAD~PUR~OSES~~-
~LEASE CHECK: ~
t
~+ ~n~ 30 ~ ~r i s
Facc Rhc R; co~n~e
sr. tucir co~H r f ~ i~.
ROGER PGITRAS
CLERK CORCUtT C~itit
FECt-Rfi ~~E'oU ,. •,
S1aS3Uz
I F~JRT~Ei CERTII~'Y tbat I wrID n~ister at m~ bal addn~ss wben tbe registratioo booics reo~ptn, aad oomp~~ w1t~ a1
other reqaireme~a d a legal reaide~ d tbis Sw~e.
I FiJI~TAF.Ei C~EA1'g'Y thai I ha~e no fnteation to retara to io~mer domieDe. aad I istead te remai~ i~
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Swora to and snbsarlbed befo~+e me this ~ ~~ dt,~ d
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A~, CLERK A~ C IRCU! T COC~tT
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