The URL can be used to link to this page

Home My WebLink About0937 ` _ _ - ' ~ ' _ . _ . _ ~ t.~ , • . ~ / . L~~~larat~o~ I~oaniciEe ~n~ Giti~~~sh~p ..i. . ' . . . . .41 : ( . - TO Tti~ C1.ERK 0!' THL~ C'IRCU~' COtT1t~'~ . - ST- l.~ 1 r 004lNTX~ t~7ARIEDl~: . ° ~b a e~,p d.eaar~cio~ at YkaikD...,~~d C,~ea.'Atr ts tM 8ut~ at lkxida ttut i am iiYa~ i~ts d•y t~ acc~rdanee. t~ tO~~r ~ ~~"ii i~~ ~tl~M. - ~ I w~ k~a k~ r+citdaat af ~IS~R„~S..k„ ~E1 G HT~ ~ (1~ ~ cl , and I - ' lpt~) Isc+t~1 ~ _ ~ . resided at ~ I~~ o ~ n.y t, ktowtver. I Mvs ebaated my donsk~tc 4e I~erwt a~i I~1rsbN1 ~ ] ~ad ua ~~d ka~~ i~ s bona lJdt n~id~wt of ti~ ~tst~ a~ l1Qe'id+~ sjso~ dar ol R~ C2 ~ L ,1l~~., aoa t rea~s a~T'• 3, L~o X 3~ a Y_ - it~ I~ tu r4~~ R o~-O i • ~ (~cr«t ~u! Nwebirf ; OQ'T L~1 FRC ~ ~ ~~'T • L U C` 1~ cWpey. ~'toria., ~ tClt7~1 ~ aAd t~Is ~taLea~en! b to be tak~e u~~ dreluattos oI dt[:ensblp. ~etwl 1Ks1 rstjdena aad domk~le In ihe Stat~ e~ Fb~ida. IF for the pui-pose of E.~-irollirig ~ ~ chilcjren in public sclx~ol, please ~ state tl~ir nanes : ~6,~$~~ ? ~ ts~~. aPR ~ 7 aa ~a z s - ~i..~c ~nc ~=r,e~t~f:? ~ . sr t ~~r.~e cc+.H: ~ a. ' i?OG= f :'~i? I~:.S ~ _ Clf NK-CtRC~ltT ~G.yt•~~,R - - :;~~s~~~ ~~r,~~r~~tt_ / ~d' ~ . _ - . ~ a ~ - :.3 • I FURTHER GERTtFY that I w~Dt re~i~r at ml ioca! ~ddrest wbeo tAe rnisttstbe boaks reaptn, sad somply +riiA all ott?er re~uireew~ sf • iesat r+esideut ol tlei~ State. I FUR?'~1E]l CERTTFY tbat I Aaw wo inteat.kim 4~o retw'~ to m~ tormer dooiica'k. aed 1 iatend to remain iA 'y Fo~RT P?c-~ c E ~ , sT_ ~.U c ~ ~ Coua~y. _ - tCOt~i . ~ ~ Fbtids, pe~ ' ~ . ~ ~ - - - . - ~t ~ ~ ~,o,r..,.:..;.~ : . i ~M , y r. `I ; ~'ji 1 ' . . ~ ` ' l • 4_ : .i~ ~~4 ' ~ i~ ~ . . ~ ~ ~ i, ' - . . ~ k . r~ ~ 7 ~ j . - •ti, ~ ; r ~ . (,ii i ' :i f w - . . ~ . • ~i • s.w t l,~ i• f • r~ . . j -~i'~'/~*` 1~ aT~i k~ i . i.~ ~ ~ . - . ~ ~ ~ s. f ~Q/V~CO.~ ~ i ~'j';~ ~~~1'~~s~~ tr'~~i~:-- ` » • ~a ~ Y ^ . . ~ - 1`iWIC $1 ~ ~ f 1Et } . ~;Yt~~:• (1T'1 • .~f~ .~G+i '1 i . r~- =~,_~i ~l) G L~ S~' t9 j~ ~1~ U 1 ~ t~.~ ~ " '~~'~~~,~~tls`•`'~~?~ ~j ~ ~ . - •nY"1.Ii~ . ` s~rani ~ si~ f~tr~d i~tfo!'~ ~M tbL ~a~ ~ ~ - . - _ I3arne - s iQn _ ~ ~J~ ~ ~ A.D. i! $ z ~ 11~? F R~ D D~ V~S f` RO(~R POITRAS . QERK CIRCITIT OOURT Narrie - print - . S°T. L~ICIE C(JUi~TI'Y, FI~.?R71]A - - B,~ - . D~puCy ~erTc , ~ ~ - ~ - ~ so~~~'5 ~~6 - ~ ~ ~ .