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HomeMy WebLinkAbout1934 / ~c;~~~r~~Qa~~ ~~~1 ~~$~~~~~hN ~ . . . . . ~ ~ ~ ~ . _ . ~~ro ~rti~ cu~Rtc ea~ TfiE CIitC~11T CUURT, `~~~~38 ST. !_UG 1 ~ GOUNTY, FI.ORInAa . - . . ~ ~ • Ti~~s ts my t'cclerniton of DamIcile ~nd Cltlxenship in /he Ststo ot Floridw that T am tiliog thts day in Accordanco. pnd in , _ contormfty with Scction 2~.1?, Florld+~ Statutcs. . ~ n~~~+tl't~ ° ~ ! v+~~s.lormcrlx n teg~l resident ot ~ ~ ~nd I r~~~) (City) l~este) ~ - residcd ~t ~ ~~-s ~ - __r_ ~I~~..~. • ~ . Iiowavor~ I hAVC changed my domicile to " , , (Stre+t w~d Numbor) • t . : E ~?nd am and havo bcon d bona fidc resident ot tha Sl~to af Florlda ~ince 3~ d~y ot ~ ~ 19?~ ~nd 1 resido a~t . ~ • ~ - . . . lStreet and NumEer) 3. - ~~,.~,7,` 5?--~.. - • ST. LUC I E Coun~y,I'lor~du, . ICity1 ~ ~ ~ ~nd lhts statement is to be Ldken ~s my declaration oi citizenship. nctuAl 1ega1 residence nnd domicilc tn the Slata ot Floridn. ~ ~ ~ ' . • . . . ~ ~ ix't~ ~ - s ~ I F F'OR THf. PURPOSE QF' ENROLL_f NG . I F' f OR kOME57£~AP PURPOSES~ CH I LOREN I N SCNOOL~ PI.EASE STlIT~ PLE:+SE CHECFii ~ ~1 YHE IR t~AM~S: _ . I - , ~ . . . .1 - ` - ~ - • ~ ~ - • ~ . ~ . ~T~p AMp ~ , - . ` , - uc~~ c~~?~r~ ~ ; . , Q R CER P81TAA3 ~ - , t~~K CtfiCUIT OOt1A? ~ _ . ~ REOOAD VFRtil~p,~~ - ~ ~ ~ ~6 ~ ~ ~ ~ ~ ~ , . . ~5 ~ . . ~ - - ~ - - - 3~~},398 '3 - I FURT3IER CERTIFl' !hat I~vill ref;i~Cer al m~ lacal~address H~i~en the registration boc~ks reopen, and comp)y ~vith al! < otbcr requirements ot a Iegal residc~nt ot tl~is State. - - - - ! I FURTIIC}'t CrRTIFI` ihat ~I ave r~o intcntion ta rr.turt~ !o my former domicile. and I intend to rcmain - iu '(Y4~~ Gr,c.,...L ~ ST . L U G 1 E . C:ounly. ` _ ~ . iCityl . _ Florida, pcrmanenti; • . - . ' ~ . ~ . - ~ - ~ - - : ~ - - _ - _ - - o ~ ' _ 1.; . ~ ~ . . h - ~V J ~ i ~ ~ ~ ' . . . . • . ' ' ~ '~`;i.t~• ' J'~I'~~}' - ' ~ •.3 : C)~ ..'ti, S i`-, ~ - ' , yl ~ ? • ~ - ~ ` ty+ • ~ , r~,~ i t "s < . r~. ~ ~ ~ / Vl _ i ~ ~ .i ~ ~ii1 ~ w ~ _ - i t ~ f . ,~.R ~ ~ ~ f . , r'~a.,~z. lf . Di e h ~ - • ' ~ y~~'~ 'E~,~- • ~ _ . _ _ f~L ' ` t~ : r, L' ' =s _ - ~;C ~ ~ ~ • - lNamo) - - - ~'i,. ~('r i E',~ ~ . - ~ _ ~~;~se ~ _ - ~ ~/:;t!?t:t - - ` ~ : . . Jrst~) - Swurn lo and sul,rcribed before nte ihig da of_ ~ ~i ~ _ ' ~ Y _ ___C~z" ` - ~ ~.n. ~~._7~ _ . - - - _ " - RnCER ?O l 7RAS~, CLfR~: 4F C I RC U I T C l.~7T : . ST. Ll~ 1 E: COUNTY, F l..aR ~ 1)A= ~ - - ~ - _ ~ ; - E3Y: - ~ ~ ~ : _ ~ _ ~ - - - r.~ TY ~e~~ic : - - . - . ~oQK ~4U ~~E1933 = . ' • • ACf? ! i,rui 7! ~ 11~` - - -