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HomeMy WebLinkAbout0936 . - M_ ' ~ - . . ~ ~ • I ci~rat~~~n af D~micil~ an~ Ci~jz~nshi ~ . p t~ ~ ~ s6~~ TO THE CL~ERK OF THE CIRCU~"T C~lT1tT~ _ ...._QOVNI"Y. FIARIDA: , . TI~L ts mr ~ et Doaikil.:ad ~abiP te tM Stat~ ot ~sfds lUat I w Ni~ thIr day ta sceord~nc+t. ,~nd conlormlty wit? ~etie~ l~.17. llortas Stat~. - , t wa= te~nne a M=+d rasidto~t ot ~ 1~~~ ~ ~.,1 C~~ ~ I ~ • ` ' f ~aq~ . ~°~a.~ . re~Wed ai 1~ ..1~~~' '~.~11Y~YL ~S~:y - Nowe~sr, I Mw ebsered m~ doink~le ~e IstewA a~/ NusM~t ~d am aad Mve bte~ a~oaa Qd~ resW~t~t o~ t!» 9tat~ ~l F{o~ida atna ~ da~ d ..~_:1s- - - and I re~ide at 5 D Q c~ v!._ r~' : ~ • (6t~+d a~i NrabR) - . ~ f : r ~ , .~S L u_ ~ ~ ~ - c~;ae,, ~~a,. « ~ : . aad thIs tt~tcn~at !s to b~ taksa ~s my declarstlo~ e~ eftiunsf?Ip, adual ie~a1 re:idenc~ aad domleile in the Stats ot t`lorida. ~ , . If ~or the ptirpose of enrolling children in public school, pie~se ~ ~ ~ s~ate their na~es: e - -~i ~ T~ ~ j - ' ' j - ~fe~Yi!1 ~ S , I~ C ~ GL O C~ - l982 APR ~'.7 AM I~ Z 8 ~ ~ ,lJ 1~ ~ i ~C~~S~'~-.~. ` _ _ 3 . J~~ - filEQ ~h[' ~r~R?',^~E'C: - ~ • ~ ST.I_UC{E: CCI:y' ~r. _ : - R(1f~FA f 0~' i' ;5 CteF.K C1~CUl1 C(\~ ,r..,~t~ ~,F ;:l: . . ~ I FURTHER CERTIF'Y t!?at I ~v~1 re~istsr ~t mJ local addrta ~rbtn t1~t t+etisiratba books rso,4?ep, usd caroply MitA all othet trquiremen4 d a ds=s1 s+esldeut o~ tbts Stato. _ . . ~ FU ER ~ERT~FY t t~a~re bo intentlon !o rettun to ea ~ottner t~ aad I Ihtaad to remain ia ~ ~ ` . S -f-_ ~ c=c.s.c ~ ~ ~ Couat~. i ~ t4t~! . . ~ F'br'sda, permsaeet~. ' ' ~ - - - - - - - - i ' . _ • ~ . ~ = _ . . ~ ~ ~C.~;,'~, _ - . _ . . ~ .v rr ~ . ~ . -.Y~~ ' ~`1'~'! 'h • _ '1` rp-s J' ~ ~ ~~~r'~ ' 3'~.° ` . ' ~ _ ~ ~~~i'~~ . . ~`i •':f • ' . ~ i i i.- ~ a G-~ . • ~ . . . - . - S - I4 i~~- . ~ _ • ~ C~i ~ ~ . ~ > - ~s„ r ~ _ . . ~-:r,~= ; - h~ ign ; : ~ : - - ~ -i . ~ _ :;'r`' . I ~ .~I•. : _ . ~ir 1 rN~ - ~ ' ~ ~ ~ - ' l~Cl.~ - TMnnr ' i v ? ~ Sw or~t t~ seid ~a~+crtl~ brfa~ m~ tMs °2 ~ eyr 9( _ : • N.~ne - s i~ # _ ~.~C~~ .14.D.1! ~ ~ i ! ROC~R POITRAS . GIERK CIRCtJIT OOURT ~ Narr~ - print ; S`T . T~.1CIE CCRJh'IY , FI.IJRIDA ~ ~ - - . , - - By ~ ~ ~ Iaeputy C er - ` j i ~ F-~~ . - BOOK~ t~ PACE ~J5 • ~ . , .