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HomeMy WebLinkAbout2719 ~~~~~r~~~~~~ ~a 4 ~6~~~~~~ ~1~~~ ~6~a~~~~~~1~~~ - / i . . ~ ~ 4 . ' ~ _ , . + • ~ • , ; _ • _ ~ ~~~~'7~ ' TO T1iE CL~Rh OI' TNE CIRCUIT COURT. . ~ • ~ ~ ~ . f ST. LUG I E: C4UNTY~ FLORIDA: ~ ~ ~ • This b my decleratiQn o[ I~omicite and Cittzcnship tn i~e Slato ot Ftorida that I Am Cding thi9 day in accordanc~, and in , - tontormi~y with Scction 222.17~ Floridd Statutes. _ ~ ' k ~ - I wiu fo~m~rl a legal reaident ot ~ ~~L_ . _ nnd I , 1Ct~y1 - (Se.ee1 . . resided at de( r L . However, I havo chen~td my domicile to • (Strc~t and Aiumbe~) . , • - _ and am ~rrd hnvc bcon a bana fidc resident ot the State ot Florida sinca ~ day ot , _ - l~ ,19~. u~d I reside at . ~ ~ (Slroet ~nd Nuraber? . ~ „~~+L~~ ~ ~ 5'T . UG ( e__ - County. Florids. - y ¦ . ' and this statement is to be taken us my declt?rntion of citizenship. actual legal residenec and domicile in the StAto of Florids. - IF FOR 7HE PURPOSE OF ENROLLiNG _ IF FOR HOMES7EAb PllftPOSES~ ~ CHILDREN tN SCHOOL~ PLE/+SE S7/l1'E PlEA5E CHECK: 1'HE I R NAMESS - ' ~ . • . FILEO ANU liECUROED . , _ ~ - ST. IUCIE .COUHTY FIA, ~ ~ RO~En F04rRAS i _ CIE~i~;3htU1i COURT _ P,iGOfi:' VF~:I~~EO - - ~ Ma~ 13 2 36 PM'75 . _ - - - ; . - - ; - . . _ ; . _ - > - ` ~ _ - _ - ~ ~ 3~188'74 _ _ ~ _ . . . . - - : ~ . . ; _ . • - 3 ' _ ; I FURTIIER CF,RTII'1' that I~silt reE;ister al my local address wt~en the registrxtian books reopr-n, and comply with all - othe~ rcquirements of a lebal resident ot this Stale. " _ ' - . - - . ~ _ - . ~ I UFtT lC.t CI'ItTIFY that I, I~ave fio intcntion to return to n~y formcr 'domicilc, and I.intcnd to rem~iri im ; : - ___y~~-,!~ _ _ S T~ . L li C 1 E ° , C:ou nty. ~ . _ ~ (City) _ . ~ . _ - ; Fiorida, parmanenti;. _ _ ~ . . ~ - . ; . _ _ . - . . ; - i . ~ ~ ~ - ~ ,...,Yiy _ . ~ _ - - . ' . . . _ - ' - a~~t~~ : ~~~i- - . . . - ~!~~i~ ~ ~ ~ . - ~ . . ~ . ~ i; U t l - ~ - _ - . . ~it_~/~ ~ . - - ~ \ l~ s..r_ ' - . ' : ~tf i~-Q'' - . - ~ - . i - ,~'~r3V,.: .-t;~ r~ G.:_ - ~ y' 1',~"~~ ~ ~E ~G?'• ~ ~~.Y.. . i~.z I';Y4~ ..r ' . ~ ~ _ . ~ . _ _ . - . - °`~i'~<~~~z~' f ; = \ ~'~1 ~ `+7 ~ . { - „'fL%~~ r'~ / C '~t w~. - ` i ',..~ss' -~t ~3~ f 3 ~-t 3 ~ : ~ ~ 4~'~-- ' . • ~ ~ d f ~ - ~'~l.~l~l~~t~ - ~ ~ c~.. . IN ) ~ .5~:,~ . •~''','~~G'~,~'~,,~~ " . ' - _ - `..f,li. . . _ - : _ ~ t.ae IAd~lress ~ f7 . S~+~orn lo r.nd tcribcd bcfur. mc. tt:iti _ d;?y of V y ~ - _,~h.l).19_~.~ ~ - _ - ~ ~:~c~~_ri ~~r„~~ ;,_ct_~_r~E: ~t-~ c ~ r:c~, i r cou;~~ : - ~ _ - - ~ = - - _ ; _ s~~ . ~«c ~ ~ coui~~~~~, r- t_o~z i.~~r~ - . - - _ ; - ~ . . ~ - E~ i' : __`~,~~1 G <iI C~L~ . - ~ - _ - ) t: f' t; T Y C ! i l: - _ - ~ - - ~ " - - ~ ~ _ ~ - - - - ~ - ~ soaK~39 ~~2'114 f.~;,; . . - . . . _ _ . .z - . . _ _ - _ s ~ - ~ _r i