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HomeMy WebLinkAbout0924 , _ _ . . ~i Deciaratian o~ Dannicii~ snd C~tizenshjp ~ s~s2o ; ; ~~~~~o~~~~~~. . - S7, uc,~oovrrr~t. ~.ownA: . . 7bis is an~ deelstatio~ ot DwateD~ aad Cittuwhip ie tM &at+~ ~i ~laida tbat I am tJ~ tlus dy tu aecordsaa. and ia eoato:mit~ ~rit6 Saetioa 422.1T. ~lorida 8tatntes. I Mas toraie a k`al resideat ~f ~•s Q U,4i1/ , ~ ~ v and I • 1~1~ . (fiatN - resided at 3~ Ve~ - Now~vsr. I baw ehan~ed a~ domiei7e to tste~c ~ NrsMrl aed +m aad bave bsea a boaa 6de nsidt~t ot tbe State a[ 1~7orida dae~ ~ ~7 ~ / 2~- ~ . lt.;~. and I reside ~t ~ ~ 7~~ S~. 1~ B D Y 7I . t~+~t ar t~1~f . ~.c~r + Fl ~~~~,7 Sr ~L uc~e cw„y,t~;a., . - taa~ ~ . aad this statea~est L to b~ tat~a as m~ dselaratioo ~ eittsen~..aetwl Mpl rMid~~a anA daniciM in tUt Staes oi ~7orida. If for the p~urpose of enroll~r~g _ ~ children in public schaol, please state their t~anes : - - - i. r: . . , I FiJRT'HER CERTIFY that 1~vDl re~ter at m~r kcal addr~ess wrbea tGe rc~istratioa books reopen. aad oonopl~ .rith all ~v other requiretnents d a k~al resideat o~ this State. ~ ~ . ' I FURTHER CER1'IFY tlut I hsve ao intentiou !o returO to n~ lortner domie~. and I intend to remain in ~ . f c~„t~' ~ . . . 6,3'7520 = ~ ~~a.. ~~ocV. ~ ~ t~ o~c 30_ ~ ~i: ~ - ` Fi~Er R~r ~n~^~ a j ~ Srrc€Ri ci~r~ij-~~,"~ Cl.EF'K CIfiEUif CCi.R' ~ ~ " , , . •:~t ~ ~ . ? ~(.~L • ' ;~u:~.,.„.~.,~.. ~ ~ , ~~~G~~s}`~ S. ~AlN~~ Q ti .F.. •,c. G •~;_t._ ~ b o~ ~~''y•- .`.••i. •s~ "a'• _ } . .'w;.•-~,~ ~.~.,p~• ~ti ~ . ~ ~N thi~ ~ dyr 9[ _ - ~ ; - ~ - s , ' , _ . ; - . n.D. 83 L;~ N . . , ; G. ~yl~ ~ _ p ~ y ~ . " ~ Name - print . CIRC:UIT 00[JttT . - ; ~ t•:'~'~ ~ ~ p~ . ~ r~r v~ ~l~y . . . ; ' aA0K4~ PA6E - r ~ - . - ~ . • F. ~ . _ . . _ . . . e ~