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HomeMy WebLinkAbout0971 . 1 - j , . / ~ ~ ~3~~lar~t~a~ ~f t~ar~~Cil~ and ~itixe~e~hi . P ~ 5'~i39~ . n,? ~E c~Rx o~ ~RCUrr c~cnrr, ~ , . ~tll~7'Y. t'i.ottlQAt ' - ~ . . ~ ~ 7'ML b eay d~tlar~ik# ~t Dc+~ s~i t~ttssa~i~ip is tie~ Stat~ w p'iotid~ tlyt Y ~w tDtn~ tAb dy? tx~ ~ca,rda~a. ~?nd i4 coalormEtr ~ 8~eW~ l~3.17~ ~llorids 8tatt~. ~ . t wat ~~tmer s fepl ewWvaa ot _~4~-¢~.,~,~[ . ~ anA I . ~ rssldec! at 1 ~ b 8 ~J'1 ~ M S t x~ C. - Ho~w~~+rer. i Aav. eb a a~ c d m y domtc~e co ~ _ ~ ~ t~a..e.~a N.~.w.t ' ~ •nd am a~d havt bta~ s boea !fd* rtsid~pt ot tM 3lat~ ot Flotida siso~ day d ~~'.~.mai~~ ~~~s~_S: w Y1t~..~ ,~~o ~w . . ~ I ~ ts~..~ ~ Ny.ti..~ ~B ~T ~~A tMT L u c ~ t= y Couot~. Florida, # lClt~i ~ . "~_j . and this statem~e~t b to bt Lakee u m~ dedasattoi ot dtlunshfp. utw~1 i~~! rs~ie6enc~ and daankDe in tM Stat.~ oI Flo~ida. _ ~ I~ for the ~urpose of erurolling • . ~ ct~ildren in public school, please ~ state their nanes: ~ . ~ ~ ~ - ~ . ~ ~ - , Z F'LTRTHER CEKTIF`~ that l~~l r~jister at ma? loca! addresa wbec t!u rs={stratkn bao~cs rcopsa. and compl~ .vith al1 olF?er rrquirsmepts e[ a k~s1 rra~d~ent ol tbts State. - ~ - I FURT'NER CER'Y7FY tbat I har: ao inttntlo~ b retu~n to ca~ f~a~rr doa~Se~7e. as~d I iatend to remw~ In . ~ IC~t~I . - - - - - ~ ~ Count~~ ~ ~ Florida. permanently. (?`'z •~f~ 3~ . ~ P~t 12: t;3 - S'~liu.r[: c ;'~~=~h;~;~, - i:~ C.r,v; ; t: j - . • ~ G:=R i'r:l rtr;; i ~ ~ Cl£fiK CG'~U1T ~r~,'' ,f ~ ~ ; ~ C O I f~ i'' F• ~ r ~ . _ - . f V J~'~ '~t~:4¢ • T~- - . ~ ~ ~ 1391 V : . Ca ~ ;G ' - U= :T1 r- tP~,~: ~~C :~Cn - ~ `G~iF~~UN7Y.~f~e~`oP ~I~ S1 _ ~ ~ t . _ ~ Sw~ora to ~t~d wb~u~ed belorv ~t tJ~ dy ~ ? _ , . - I~la[ne -s ~ . ~ ~s.~~--~ - A.A. U 8 Z• ~ ~j~ (3 A~t,.'~ , z t' ,c1 ~ # ( R()GER POITRA~S~,~C CIRCITIT QOURT Nane - print ~ f ST. L~JCIE COUNIY, FIARI~A t , . BS' . . Deputy C er ~ . _ . ~ _ ~y - _ 379 ~P~F ~ ~`i ~ -