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HomeMy WebLinkAbout0914 ~ tion of Domic~i . nd itiz n h Declara , e a C e s ip 593238 . . f~ iV •fi~Va~WM~~~ •iiiVYN~Vaa WVA•~ • . - ' . ~ . ' ' ~ /~/~~~}~~/~b~~~ V W~~ a s~ i iA/~Mi/~I~i - C~ . ~A ~ t~ 71d is a~ ~eL~stlN ~ DodeO~ s~d CKl~a6t~ h tM 8tsN et !'IorW~ t6at I as tWe~ ttJ~ ayr ta ~eoordana. aud is ~oetormit~ wkL 8~etiM !l~.17. FlorWs SbtotM. ~ t wat~.~.~t~ a lspi nddo~t et ~ L W ~ 1lC E~ IS [ o n),S I~t1 _ aAd ~ . ~ • . • ta41 te~wr . rsaided ae 7~S ~EATR t C~ - ow~~~ I t~w ebs~d m,~ domkD~ te I~Mt ~.i t~t~lwi S'Fr/~'.~7E'E~UT ~ da ~ aad ar~ aad Aav~ b~ a bons !W~ raio:at a~tM Stat~ d~1o~Wa ~ioa d .~r4,v~r4~¢.~' , i~~..4a t~a..~ R'o ~ 1 fo w i~ ~ Rt vr' _ ~ ~e~t.~+N..?~ei ,~~.ZT f~iE2cG~ , . ~ c1 ~4 , 1 ~ST. ~v~~~ Couocy. F~otida. Ia4f - aod thts ~taten~ent b to b~ tak~a ~s ~ deeLsatfoo at dt~tnsbt~. setwl Msd residena and docnieiM tn tb~ 8tatt o~ I~lorida. ~ ; I ~ . If for tt~e p~n~ase of enrolling - children in public school, please ~ ~ state their nanes: i~G'I{.J/l~ I~ ~y~~~ 59~238 i~~~ JAH 21 PM 12~ 4 0 f1LfC ~~C FrCGr=+i;~ . S ~.l~lE CCUr: ~'•i ~ Rt;G~~'~ ~,~.,~l.ti t . CLfFK Cl?CU~!?~C^'-:s=~ ; ~4 ' ~ ~l j,~~ ~._-i I ' - ~ ~ ` t _ e i E ~ I FUR7'HEA CEATI!'Y tliat I wID te~ister at m~ local address wAeo tb~ re~iriration boolcs reopea. ~ad oo~npy ~?itA a1! 'i otber requinnketa d t k~aJ raidsa~ d tN~ Stat~. . . ~ ~ t i FUR1'HBR CERTI~'Y tbat I han oo intsatioa t~ retuts eo m~? tora~er domie~7e. aaa t iatsod to reauin is ~ E • Ipt~1 . ~ ~ Florida. pernuaeotb. . t + f : , . • ~ ~ ~ ~0 UI~~T c . E - - c~J\.'~ .OG . ~ . c~: ~i.:~ . , _ ~ s " sj ~ - ; ~ . l~•';~y~J., ~ P i t ~ ~'~~?M~T4V:'tj<'0 ~ ,'p~, I € G`' ` A S , & E ~OUMiY . F r-4-~.~ c .e {~t'S 3 Na~e - j~r31lt ' ! ~ ~ $rlr~ ~ q~il~ bffOfr OM ~ ~ ~ ~ ! ~ . _ g ; n.a. ~ 83 f . ~ _ . ` RO((~t POITRA.S . QF•EaC CIRLUIT OaUtrT Name - print ST. IIJCIE OOIJNIY, FLARII~A . . . . ~ ~ ~ ~ f ~ - - - . _ - g~eh~~ PAGE 9~•, • - ~ - . ~