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HomeMy WebLinkAbout2893 ~ - ~~~m~~~~~ an~ ~~tioz:~~~~p - , _ ~~,~~~r~ , ~ _ - ~ ~ ~ ~ ~ ~ . . , - . ~ • ,~li ~_/~o0 4 TO T1iE CL~RK OF' TfIE CIRCUIT COUItT~ ~ ~ - ~ ~ k ~T. LUC 1 E: COUNTY~ FLORIDA: This Is my decl~rntton of Domicile and Citizen~hip in the State ot Florid4 lh~t I nm filing this day in uccordance~ and in _ contormiEy with Section 2w.17, Florida Stntutes. ~ ' , I v~a~ formerl a legel resident ot I~l L-~`' . . r ~ and I . - (City) (StRte) i resided ~t,.~~~. 0~~~~ S ~v ~ ,~iowever, I have ch~nged my domicile to ? - (Street and Kumber) ; ~nd am and havQ becn a bona fide resident ot the Statc of Florida ~i~ce ~ day o[ - ; . , _ ~G~, ~ ~19~~andIresidcat 1~.~ S~ ~ j~~.1l~~y _ ~ - (Street ?nd Number) - - , o R7 5~~ U~ 7~ ' ST. LUG 1 E~ County. F'lorida, ~ (C~t~) . - _ . ~ ~nd this statement is to bc taken as my ~eclaration oi citizenship. actusl tegal residence and domicile in the State ot FloridA. - } ; . _ - - t _ If FOR THE PtlRPOSE Of ENROIIING . I~ FOR HOMESTEAO PURPOSES~ ! _ CHILOREN IN SCHOOL~ PLEASE~STATE PLEASE CHECh: ~ ' THE IR NAFtES: - . . -s i~PHE~U iY? , t)o % 1 N o J R. _ . _ _ _ _ . : __a . _ FIt,EL ~4, t;LCOH0E0 ~ . - - ST.IUi:+E C~UNT1' flA. ~ - i Rn' _ f ;?TR1l5 - - - - ' CLEF:K t s :c;=!!T COURT ~ ~ ~ . °="R;'~ ' _D..... - - MAr 2$ 9 38 AH'75 ~ ~ : _ - 3~0~ - ~ . _ - - - . ~ ~ _ - . s . - ; - ' 1 FUR'f1IrR CI.JZTIFI' that I~ti~ill regisler at my local addre.ss wher~ tFie ref;istr~etion bovks reopen, and campl~• with all # ~ . othcr rcquircments uf a lc~;al residenl of this Statc. _ . i _ ! I U3ZT11I;.t CI:i~Tll'Y that I h.ive no inte~t~c~n to return to mf tormc~r -domicile, and I intend to remain iu ~ - ~Q~~' ST LV C~ j~ _ S7~_ L U C I E ; County, (City) . - ~'lorida. pcrma~~cmi,'- ' _ - - - . ~ ~ _ - _ ~ _ . - ~ ; - - _ - . _ s . . = . . ~ ^ j :J ~ ~ ~ /1O ~~~i _ - . - i.' ~ v .J• 1~` i ~ . - , 1j•••• ~ ~ ~ - ~i,~ - Q~• _ _ ~ 1 _ _ ~ ~ - ~ ~ ~ N _ ~ ~ : _ _ - • . ? ` ~cf. : ~t` ti . _ - . - , ~ ~ - - ~ ~ - ~ ~ Y ~ . - - ' ~ - - ~ ~ ~r''~:,;;~~ ' _ - _ s~ ~t~F r! N1_~o_ -L /N O - ~ ~ ~ (Nemc) ~~<<,..- - ao~ 5_w o NE a~. - ~ . . ~ (Addr~as) ~ Sv: u: n io .:i:!i s~~h~cri!~t•~i lti~~(~+r~• ntc lt~ii t'.Q}• of 7 S/, L~% G/ f_ ~c,~. 3 3 ys~ ~ `i.~- . _ _ - _ - _ - _ . - ~ _ - : i ROC,("f: _!'n 1.'1 S: t; ~;,__C t_f:R i: Of _ G! f:C_i_! f_t-__COlR T - r ' ' _ ' ' ' . . - ' .i ' _ - . . . - . - t ~ ST. LUC ( t_ CC)UtJ-i-Y, F~ ntt ~ I~~: ~ _ - - s _ - C " - " ~ l ~ ~T : - t'~------l~r. ~ u r ~ i_ ~ i - ~ - s , Q~Q _ . ~OOK ~+J~ PACE~000 , _ . . . ; _ ~ ~.r:c, ~ ~ i : - - - ~ _ . ~ - -