HomeMy WebLinkAbout0923 ~ ~ • ~
STATE OF FIORtD/y ~ ~ ~~~;~~'9 ~ ~ .
OOUNTY OF ST. LUCIE
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Thb is my ~IanNNo~n of ~omiclN in th~ Stit~ Of Florida that 1 t~m f ilinq this d~y in ~dance
and in c~n(o~h+ Wittt 9~c:tlo~ 22Z.1 T. Florfdt 8i~tut~a. .
1. (w~~ D N 5 i A l'~ I`Z ~ T~/D R c_ ~ _ -
~ ix~x rwn vou~ wr+e_aw~n
b~csm~ a bona Nd~ nsid~nt d tM Stats ot Ftorlda on„ `~1
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and 1 res~d~ at ,-1 a- !~~_Fl J` C.° D U t~ T
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i~ ths City of FC~ Y P`l; R
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My meilfr~p addhss l~
tr~ asse~~n F~r an~~ ~ooRESS?
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M„ fo~ th. ~n,, of r1 o rv I
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(No fu~th~r st~tsm~nt is nquirsd. However, N you wish~ you may insert any pertinsnt facts
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such as sal~ of prop~rty or businas or refinquishmsnt of employment et fomnar domictla ~movai ; I
ot tsmily to n~w domicllt~ purchase ot homq, etc.)
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1 FURTHER CERTIFY ! wili comply with all ~equl~sments of a leflat resident of this State. t
undeatand then ts s p~nafty fot ps~ury; ps~Iury is a Felony and is punishabls by incaration in the
Statt Dep~artmsnt of Corr~ctions.
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PRINT NAME SIGNATURE
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PRZNT NAME SIGNATURE
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7NIS SPIICE FOR RECORDING INFORMATION ~
:s~ ~.~:~a o~«. ~..cna ~ _dn? 691259
~~of~ y , 19' ~
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: RO~~LR. . ~1~AS, :aCLEi~ CYRCCIT CT.
~ • " ~ _ ~ t ' d FEB -~5 PI2 ~54
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f ~ . ~ - Deputy Clerk FILEG ~ - . - ~
~ ,st,~~~ ROGER POr:~t-, - ,i_~ n'ti
* SL LUCiE Ci,.•~" r, _
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Notary Public, State o.f.
My Com~aission expire$ : . .
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