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HomeMy WebLinkAbout0921 - - _ 1 - _ . ~ tion of Dom~cile and Citizenshi ~ Declara . p ~ ~ 586929 ~ TO TN~ C[.ERK OF TH~ CIIiCUIT OOURT. . ~ ' ~ 5-4- . ~ • c~ _OOUNTY. FLORIDAs ~ 71L is m~ dedsntio~ el Domk1M aed t~titaoship it tlM Statt ~f llorWa tb~t I us l0ia~ thb day t~ ~ooo~dana. and ia ~ eoafarmie~ «rk1~ Sre~tk~ !!l.~7, Florids 8tatuta. F i I was torme a M~al re~Wsat d Q~_= + ~ e aod I • ta~ t ~ .~tsjdad at R-~ ~ • E~ r~( 2 e 1 ~ _ ow~wr t lu?w el~aapd m~ domk0e te t~tnK rt NrsMrt and aao a~ Aave ba~ ~boaa dd~ ctiid~at of tiit $tata eI!'ioeid~ sioo~ ~'1 t" dq a! ~ ~ ~ • . If_~.~..:~d I ra~d. ae ~7 ~ ~ N.a..? ! ~ ,P, p ` ~ p _ 5 / ? ~ c ~ ~ Couoty. Fbrids. fA~t1 . aad thts stat~eea~~t L to b~ Wcee a~ siq~r deelaratio~ et dti~ensAi~. ~ettisl M~a! raideaa aad doa+kD~ ia tM 8tau ot Fbrida. If far the p~zpose of enrolling ~children in public school, please state their nanes: . - { 1 FURTHER CEATIFY tbat I w~ ~e~sr st m~ iocal ~ wb~s tbt t~c~btraUon books r+copen, aod oomply ~rith all other r+cquiremests ~l s k~al raideot a~ ti~is Stat~. t FiJRTHER CER t6st t Aaw ao ~ateatlou to ntura te m~ [ormes bomklM. aaf I intead to temaia in Ia ~ ~1- ~ e r c ~ ~ ~ 1- u ~ ; Q . Couat~. tdt~l . - E'lorida. pe~~• . 2~ A.~ ~9 ~ . ~-~~~r ~?;r~F~:c~^=~n tur.~t' cc~~!~' a. ` ttfGt~R i'Gitirr.4 • " CIEFl~ GlrwiT 10;;PI ~ i.:~, ,r. A p i r..ah,~iK., ~ ~1'~: ~ ~ •i~t. • _ . _ " 5~9~ _ . i . ,A: • i;;' • ' : . ~ ~f'.~ = ~ . ~ ; ' J~t~1 - ? 4_ ,f~ ~y. ~ " , '~{s ~ ~ . ~~12 - SlRil t ` 'L; . ~ .~~','r , ' ~ ~ _ ~Ilt ~ ~ dy $ ? T~ F! n.. a~ L ~~.s,~~~ R ~ Sworn t~ and wb~ertb~d 6efon m~ t~M ~ ~ " . A.D.1! $ Z. N~ne - s~.~t ~ ROC~R POI'TRA.S . QERK ~,IRCUIT 00[lKT ~ PI~~e - print ST. I~JCIE OCJIJNIY, BY ty ~ BOOK ~I00 PAGE 9~~ r