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HomeMy WebLinkAbout0407 . ` a ~ , ' ~ . / • ~ . . ~~~C~r~~a~c c~~ ~ . . . , . . , _ . . , ~ ~ 3~~~D~~~q ~ ~ ~ TO T!!r: CI,~RK OF'TIIE CIRCUIT COURT~ . ~ - ~ ST. Llk. i E CQUNTY~ FLORIDA: • This t4 my declai•ation ot Domlcile and Ciltzenship i~ the St~te ut Flacida thut I am filing this day in sccocd~nca. and ia contormity with S~ct~on 222.17, Florida 5l~tutei. ~ ~ . ; ~ , ~ r~l~~.-~ ~ . 1 wds ic~~mrrly a le~al restdcnt oi ~ snd I resided At ~ L~~....~3~t~. - H~owevec. I have ebanged n~r domicilo to ~..l~~ lS ) _ (Str-et ~nd Nwsb~rl _ • - - and aai snd h~ve been i bona fidc residcnt of ihe State ~f Florida ~ince d~y of . _ _ ~ ~ - . ' + _ . ~ , ~ . - _...._.1~ ? 5. , and I nstde ~t ~ r' . - aad Number) ' • ST. l,.~C 1 E - C•ounty, Florids, . ~ _ iCteyl ~ _ . ~ ~ and this statement is to b~ taken ss my declaratic?n of ciiizensh~p. actual le~~?1 residznce aAd damicile in ihe State ot Flori~ia. - I F E'OR 7HE PURPO~E OF ENROIL i NG ~ I F FOR ~ NOiriESTEAO PURPOSES~ . CH 1 LDREN I~1 SCHOOL~ PIEASE. STAT~ PI.~IISE C_HEZK: ~ _ THE IR NAMES. ~ - . ~ ' _ - ~ - ~ - - : s~?~E ~o~~~~`~. ~ ~ _ ~tac~~ roi~n ~ - ~ - ~ - . ClERK CtRCt~IT CO~iRT C, , ~ _ REQOitO VERiflED...~....~i~". - - - - ~ - - • - . . ~ t~ ~8 ~1'75 _ _ _ - - - ~ _ ~~~93~t~ - _ - _ ~ ~ - - . ~ ~ - - _ _ _ - _ , _ . I FURTIIT~R CERTIFY that J will registrr a4 my local address when the re~stration Loo}-s reupen, and compiy with all _ _ ott?cr requirements of a le~al resident o! this State. - . . - I FUFtTII G'E-P.~ that• I havc no intention ta rcturn to my former_ domicile, and I i~tend to remain in ~ . ~ - - ST , L i1 G ! E , Cauniy, - _ ~ - - ~ - _ (C;ty ) . ~ _ ~ - ~ ~ I~ lorida. pcrma*~enti; . ~ - - - - E - - _ . _ E - ~ _ . - - - - - ~ - . - - ~ > i K ~ - ; t ? f''t . . ~ . ~ . ~ ~ - - . . . '~~tla ~ , ~ F. _ . ~ . . - ' . . . . • ~ _ . - - k ~ - ' ~ 3 , t i .~y~. _ - _ . . 3{f,,,,•,~. - - ~ ' ~ L' ~l)~~!<~ ~ ' - ' ' . . . . tt~~Jr / ~ ~ ~ ~ ~t . - • b.• . ~ . ~ ~ - ~ . ; ~ ' ~ . _ , - a ~rr: . :t.e.' .-t~~~_~,`t...'.? . - ' . . i . - _ s y;:f: . _ . ~ i . _ s ~ _ . " - . . t !C ' y . .-1 . ` ' , ~ . . ~ : ~ ~ ~ - . t fv_; a! 1 /iJ - ~ _ ~ . ~ _ t ~ 1,~~ Y r~*~ . , . - ~ ~ . . . j . ' f~a~~~3?. : ~.~f ti .r' . . . - . - ~ ~ . . ~ . ' . . . 3 . ' _ ~ i. - ' ~ . ' J . !,`i_• _ ~ f ~ ~ : _ ~N~a,c? . - ~ - - ~ _ - . S # ' - (Addreas) ~ f . ~~~•orn t~ ni~d sul?scribed t;~(utr. nic this _ c~a~• ot ~ - - - ~ . . - ~ _ . ~ , A.D. 19_r~•-~ - _ _ . - F. i- : _ F:ocr_rz__~o ~_rRJ~s, ci_F~~~: c,F c s~:cu i r_c~c~~~- . _ ~ - ~ _ - _ _ ~ S?. LUG 1 L: COUt~~Tl', ~ LOR 1.U/l " ~ - - - _ - _ - , _ - _ - - C~Y. ~ ~ ~ ~ : , ~r~: ~ ~ T Y c ~ t ~t - - . k= . - - - ~ - ~ ~ _ BooK z~ P~ ~07 _ : - _ . - _ ac~ i•,,r~tr~i - ; _ - - - -