HomeMy WebLinkAbout1994 . ~ ~
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STATE OF FLORIDfl YOx~~,9$'
COUNTY OF ST. LUCIE , ~
This ia my Decioraefon Daaicile xp the St~Ee of Flotida tha6 T am filing th:
day in eceordanca and in.BO1tF9~1Py iP1Cb S$C'PION 222.87o F2orfda Steta[ea,
I,{we), ff/S~"iY%'~/5.l /~/O%~i,;7 /~'~/G'
p aasa pr n yoor name c eer y ~
became'a bona fide resident oP the Stata oP Alor3da on
"_~~,JfJ~ xg
~and 1 resida at ~<'7`~~ ~/%lG~~'= G°rF~i'~ j
~ in the City oE S'~` }
My mailing addreae ta: /~Y~ j~'w.f',sly /jF~pe~/_ j% Y'S~'~ ' ~
, (3"'~renf sam s rae a ress
My Former legal resldence wae in tha City oP ~/LFn~F~~k O
Stete oF ~U~~1~
(Na turthec vtatemanE is raquired. yowever' iE you wish, you may insert any~
pertinent tacte euch es eale oP proyrerty or buatnass or relinquiehment of ~
employmant at loxmae domicile~ temoval of family to paw domlcl2e~ purchase of-~
home~ eic.) . ;
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I FuRTHE& CER2TPY 2 vxll comply vith a21 requlxements Qf a legal resi8ent 4
this State. I vnderetand there is e penaltp for p'erjuryiper~ary !a a Fe2ony :
and~is punish'ab2e by lnaeratSon So the Stete Department oP Co~rectiona.
~hoR%C % l`%a~Df~~'/G' (r~l~se~f: _~c,>
PRINT ~ ~ SIG~AlUN~ '
PRINT NAFtE ~ SIGNATUIiE ,
Sworn to and eubanrlbed-6sPore ma this d 3Z~ day oE ,.,ti<, 19nt~
f ~~G1 D , CIRCOIT QDURT ~
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epu y er
" , RCC RDZNG IMFO AT ON
r,~r~. a,nii~, seece or l02.f198
Mr crnmisgi«i ~ptz~'s:: '90 JAN 24 P331
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1tecFtef bOtl(iL~8D1RON S1•IUCI! ;ngN7Y.i
Add Fao g 8t C,uda Com~y
Doc Tea 3 Clerk Circuit daaet
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