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HomeMy WebLinkAbout0959 . G i Declarati~ ~f D~i~1te and Citiz~nship ~ ~ s~s~ ro rxa c~.~aex orTxs c~t~rroou~t't. . oovxr~r. n.o~ ~ - , ?fi. r.y? d.e1u.RM..t D.skB. as~ Aeb.a6i' b t~. e~.a .t ~fo~ia~a c~at i a,. t~ tw dy h.oooraano.. .,~a ia cootoradt~ wk? E~cti~ !L'~.17. tlo~idt Stato~. ~ > j I was ~ a kpl nsid~d d- ?`~Q-e -C~ _ G- and I . ~ v ~ . rss{ded at ' 3 J _ ves I havs e6aa=sd m~ domk~7e to IAtn.t ~i 1~Mr1 ,/1 aad ~ vs b~s a Dona 6d~ »sidaa~t at t1~ 3tae~ d l~laida dao~ da~ d if.g.~,. aod i rosid. a ~~l> Xl.~_~~cc r~z~-z~' -~C~l~c..~- ~ . . - dN~~..l ~ t ~ ~1 ~`_s ~ Count,. F7o:ida, tAttt and this statameat is to D~ e~k~e ~a m~ decLnttoe ~t eitEtenswlP. ~dnat iKat ria3dena ~nd deade~ in t6e State ot Flarida. ~ If for ttie purpose of enrolling children in public school, pl~ase state their nanes: l` u I FUR?HEA CEIiTi~Y tlut t w~71 re~istes at m,y iocal address w~ben t~e re~isintioa books reopen, aad cocnpl~ writA ell other rsquir~co~ats a k~al residtat a~ Lhis 84t~. ; ~ I FUR?HEA CEBTIFY I bavs~ inteattao to rrtuin to m~_ g~ris~~e. and I inLes~d to remain ia ' ~.~2~`- j~.'-C~ t c~ _ , , ticcLc - Count~. ~ tcs~~ . E Fbrida. pernuneatl~. 4 ~ ~ ~ 19~ EL~. l 8 PM 2 3~ ~ : Lti( r. , ~ '_i~ll'"!f iG:V' . • ~ • • r:(1(;= i? f' _ ~ n,; ~ ClE' - ~ ;~...-r, . . . ~ . ~ _ s~:~sz i ~ ,r ~ . ` / ~ -y ~ ~ ~ `1 / i, ~ . 1~ ~t~ ~ • y ) • , , yyy ' \ r . ~ ` ' •I ~4V1 lM/~ • ~ ~ " # ~ . .~lY~,~ r' ~ ~ ~ _ Sion ? _ t~;,~ a•' ..X ~ ~Z/~L-dr /ZJC-~ L-• l/~ ' , • . , ~ O ~l:~ - ~TML'1llt i ` 8w~n t~ aiwi wbKSi~d Del~ a~ tl~ ~qr ~ ? : ~ • Na~e - s~ ~ A.D.1f $3 ~ y RO(~~t POITR~S . QERtC CIRQTIT OOKJItTV Nane - print ~ ST. IUCIE CUIJNTY, FLORIDA ~ ~ ~ F - . ~ - ~I( ~ P~6E ~ ~ ~ . ~ _a~.j~~~ S~ .yeF-... ~..~,.~.i" '~:~ti ~LS::::~.4,,,3`R~.+tt'-~:'=.e3Y _ G ~