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HomeMy WebLinkAbout0947 ~ Deciaration of Domicile and Citizenshi . . P s~e~s TO 7'H6 Ci.ERK O~'TNi CT~ClJIT OOUR?. • R ~ . . ~•._~_~_OOUNTY. ~'LORIDAt . . - 79~ M q~ ~eLr~tios ~f Ooe~kD~ as~ Qt~ 1~ tM ~t~N ~i EloeWa tMat I na A~ t~Y dy h~ooo~daaa. and ta - ~oa~o~mly ~ 8~etie~ !!l.~T. llo~iaa 8latutM. . . t was~a Mpl naid~At ~t Qe t{~•, . Q= ~tG__ - O L. te ~ . • ~ ' tdq?) I~atN and I . ~qWea at _ 133~ s'o P~.? k t~..~ v:.____.__ .w~ I u.v. ee.o~.d ay? aomien. to I~end ri N~.1r! ~sd aa~ s~d ba~ bNi a b0ea Qd~ »~id~t ottl~t 8tat~ ~ tloeida tt00~ 71~ F'i r~ dy d i v i 1 .1! ti 9.. aoa t t~sid~ st Z ~ ~ : • . n~Nu.l~el . Q.,?-t~ s~. C...~ c. ~ Q _ ~ s-t~,: L,~~~. Con.y t'k~id,, f~t! ~ aad tbts ~tab~st b to b~ tak~s as m~ d~eLsatto~ ~ dti~nslJp. ~dnal l~at raid~na ad do~nk0~ ie tM Stat~ a~ Florida. If for the pwcpose of enro113n1r ~ 1 childre~ in public school, please state their t~anes : , • - I~ I FtJAZ'HER CEAI7PY t1u1 I w~l ~r at ap local sd~ea~ wlNO tf~ t~rati~s bedcs ~ropsw aad ~o~n~lp wKb a!1 ~ ~r »quirsm~eMa d~ I~p~1 raid~at at t~is &at~. ~ I~'tJR'1'i~ CEA17~Y t4t t ba~ as i'e~utjoa to ntoru t~ a~ fo~oer doa~3eD~. a~i . I intsnd to temaia is ~ ' . . _ . ~ ~°~'.~-=`b'' . _ 59~84;~ 1~83 NAR -7 PM ~ S7 ~ ~ ir n; ; ~ , FIL~~ ~Nf ~rf~;1f ~ / , Si. LUCIF C0~71; 'f, s i~. ~ «.....1, ftUG_Rf'QIF/~:..5 ; F . . 4' CL[HK crrculi . : t. ~ t~ ; ~ ~ • ~LU~; ~ ti; . . . . ':L G~_ I ' •r • V ~ ;_`~---R _ ~ ^ ' i iR Y{ ::~~';t t• ~ ~ _ ~ -~,.,r.~,.;~.;~~ . ~ ~ . ~ .s ~ , ~t~,, ~ . L..•. :`r~~1{J~ ~ ~ . iV~i , . ~ f • ~ ~ /y~~ • ~~i ',,~~r`~?~;~,~ ^ V ~ V / A/.t/~.~.++q ! Y ~ t ' YJ , : -r:r, ~i~ V ' ~t,~,,.,. _ j~ r k rr•irs::11~~• , a~ca+~a~ 8~.; (.i g , W 1 Va.1 si~~ ~~v ~ ll~~ ~ . ~ ~ Nmne - rrixtt ~ BwK~ t~ M~ ~t~M~ ~f! M ~ ~ ~ - S • ~ ~ - ,-.n..a.~i83° I _ ~ ~ . s _ ROGE[t FOI't'RAS . QEiaC CIRa]TT~ OOURT ~ Name - print ST. IIJCIE QA)N1Y, FLORIDA - ' - . ~ ~ ~ - , _ - ~ ~ - ~395 P~~E=_-9~6 - . ~ ~ - - ~ ~