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HomeMy WebLinkAbout1203 ~~~~~~u~~~~ ~r~~ ~E~~~~~~~~~~~~ ~ . ~ ~ . . - . ; . . } ~ro ~ t~F, c~.f~:rzh oi~ THF: CIRCUIT COURT. :3'~'~83;~ ` ; . . ' ST. I.UG f'E coutvr~r, ~r.oninA: . ! ~ ~ ~ ~ s 9'Ais ts Riy declaration o[ Domicilo end Cittzcnahip in thc Stato o! ~loridd thnt I am iiling this day in accordance. nnd in , i eonformity with Section 222.17. Florida St~tutes. ' ~ . . ~ j ; Y wt?s formcr~ d Icbal tcsident o1 ~ L~ ~`3 ~ ~ ~ `c ~wl~T ~,L`~ , ard I . ~ n 1(~ (Cit ) (State) ' ' ~ resided at L.~-l `L--~ ~`1 l \ ~~`c. ~ ~ ~ ~ , IiowevEr, I bave chansed n~y donticile to ~ ~ ~ (Streat ~,+d Nu~uber) . . ~ And am nnd have bcen a bona tidc resident of the Strtc ot Florida since _ d`~rJ day ot _ ` 3 : ^ ~ ~ , _ t ` -s-1-~ 1~ .19~~ and I residQ at ~ ~ 4` ~ ~.~~..1.,~~ a.~Z, ~ ~S _ : ~ • . - (Street and Number) ; ~ ~ ~ ~ e ~ ST. ~uc I e ~~~~r~ , County, Florida, ~ ' - - ~ pnd this statement is tu be taken as my declnration oi citizenship, ~ctual legal residenco a~d domicile in the State of F'lorida. ~ - . ~ - _ ' - ~ . - - . # IF FOR THE PURPOSE_OF ENROLLING IF fOR HOMESTEAO PURPOSES~ CHILD~EN IN SCHOOL~ PLEASE STATE PLEASE CHEGK: ~ ` ~ THE(R NAMES: - - ~ 1~`~- ~~~s ~ ~lZ _ ~ , - i- _ . . ~ ~~~g3~ ~ ~ F~IED ~v;, ~EC~RaEO ~ . ST. IU.CI_ CGt;HTY fLA. ~ RC'.;::-'3!?FAS - _ CLfRl~: ::-.:::;IT COURT ; - - - - _ RECf.F`i Vi ~ ~ I~ / ; - - 4 , . ~ ~ MAY ~ Z ~ 03 PH ? c~ ; ~ . . - - - ~ ~~z . ~ - _ ~ - . ~ i - . ~ _ _ ~ _ ~ - - - - . - - . . - I FUR7'}IL•:It C:F;}i7`1FI' th;~t 1 will rc~;ister at rn~• Ic~ca1 address when lhc rcF;ist_ration boo}:s rcopen, a~id comply with al! ~ _ othcr rcquirements ot a IcE;:tl residcr~t of tt~iti Stalc. _ - _ ; ~ ~ . - ~ 1 FU12TIlI~:t CEI.TIT'~' thzf I L:~vc no intrntio:~ t~~ rcturu to my t~rmrt damicilc, and I intcnd ta rcmain iu ; ~ -_S7 ~ L_U L I_E - C~,unl;•, - (City) _ _ ' _ - - ~t ~ Flori;ia, pcrmancn~i: . - • . ~ . ~ s`. ~ • - ' _ ~ ~ - t ~ . - - = - - _ , _ _ _ ` ~ ~.'~i ' . \ _ _ _ _ . - _ . ' . ' ' - ' _ ~ . . . - _ ' ~ . . . . _ . _ ' E . . . ~ ~ = : _ . , . ~ - , ~ ~ . ,i~ . _ _ _ ~ ~:-,~~~KZ~ _ . _ _ . ~ ,l . ~ . ` r _ - - - - . ~ - _ - . . . - ~ ~ - L - - (AJJrere) ' _ S~ti•u: n t~ r~n~1 sn;ir.~~ i„t~d t~e[ute ti:c llsi•; day of - ~ ~ ' . ~ (//T _ ~~''C' - ~ ~ . - , A.1). ~ `a_ • , ~ - - - _ ~ - - f~Oi,Cft_I'n I ~!_ftl~`_~,--C;( _[_Ri:_ Of-_ G_!_f'CU_I_f C.UI,F~ T - . ~ - - . - - - - - - _ - ~ sT. t: c.~u+>>~~Y, r~_o;l ~r>n _ _ _ . . . - ~ t f 1 ~<<_,~_.~- ~c t_~` r f~ ~ r-~ U T Y Z:~i ci< ic - - - _ f € - ° R 239 P~~E12U~~ ~ ~ i SoQK_ ~ r.r,t,t~~:~~~~7::r ~ - - _ . . i . . - - - - _ ~..~'"r_vr.._x ~~.s~~.. _+i~3::_`C-:...t.+z..-.~.-,.~:,;~...~a~.... . . _ . ~ _ _ " ___:__~~.,"~e- __~~~w~~:---.__ . - ' " ' . . . ~ " _ _ - _ 1 ~