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HomeMy WebLinkAbout0989 , Deciaration of Domtc~le antl C~t~zenship ~ . 5S31i6 : 7'O TH CLE F THE CIRCUR OOUIt'l'. • - ~ OOfUI~'!'1f. FLORIOAs , 7UL is m~ d~elaratlo~ ~f Domie~ ~sd Gtisea~~ t~ tM 8tat~ of ~'IKM~ t1~t 1 w~ t#ir jy i~ ~ceadsset. sad ie coalor~it~ w?it~ ~tl~ !~l.ti. tl0rid~ SLtntM. t wss ~onuer a 1rN r~lid~d d aod I . ~ . eYSided at ~ - ~owe~K, l lw~ dua~vd doioicDt ts tle~«t Mi NrwMii _ _ aad a~ asd ha~s 6Ka a boaa Bdt n~Wtnt d t~ 9tat~ ~ F'I~ti~a ~~oa t' da~ d _i~.~..~~~.~ ~~~~~-~.-~1-~,-~UT ld~ _ M/ t~~wl T1e~ida. _ tta41. ~nd tl~L statea~e~t is ta b~ tak~ as eq d~darstjo~ ef ef~n~l~. ~dwl Ypl n~d~e~ as/ ae~ie~ i~ tM St~at~ a~ t'fo~ida. If far the piupose of enz~r311itur children in public school, p~ease state their names: 1 FUR7'NER CER1'IFY that I~ID ~t~r at n~~ bcal ~ddrsa~ ~~e tM ~ntM~ b~oki r~op~*. aaa ooen~l7 wit!? all ot}~er rrquirements of a ie~al resi~tse d t6L 8tat~. - i I FUATHEB CER77FY ttut I tun ao iAt~ntio~ t~o retors t~ iq+~ iee~r ~o uL I~st~si 1~ teuuia is . ~ /17`- - Con~t . ; IW1 . ~ Piorida. ~rtaanesl~j. ~ ~ 198Z JAN 12 lUl 1 I~ 0 8 { ~C ~hI ~=CC~:,1lJ ~ 5'~LUC(f CGt;H! c I . ~?CGER F'GITFtt,S ~Ei•K Clti~l,~'. COLR~ n ~ _ ~t~, ~ ~ ~ ~ ~ . . ~ ' - 553116 § ~ , . . , . : t!:_ ~'~~,7' S ~ ' L . ' : • ~ Pj~ne - g • , , _ r'.~ _ - /l u ib T S~ u L i ~t/ G-'s i r•`,. ~ ` Na~ae - ~ri~t ; ' ~ ~ ? ~ gt~o~ ~ Ottah mr t~~it ~ ~q $ - _ =.r~ ai~ - ~ - s r, z . ~ ~.u8 y,'o~. ~ 3. ~/~i~~n~U s Po p~ ~ tJane - p~ _ R ~ ~ T ~~a c~ s sr. E canvr~, ~~xr~ / b~~/ 5 A ~ ~3 ~ , ~ _ ~ gy j~ NS e n! ea ~ ' uRc~{~ 33ys7 ~04K Jlh~ PAGf ~ IT~ M rs~e~rt~/ ~ l.~iieM. ri oe~i~al ~i .rNl~ Q~ predt di.~e. W MYnb ~ 7`~t A~~.rl ~ . ~.t,,.~..~_ _ , _ ~ . , . . _ _ -