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f),I. 11001 ..~, Declaration of Domicile and Citizenship St.. I.U~i. COUNTY, RORIOA: This is my deci.,.tion of DumiclIe .net Citianlhip in the St... of fIoricM tNt . .m filing this cay In KCOId.nc>>, .net In con~mity wi1h ct-.pter 222, SectIon 222,17, AorkN St.~, I w.. formerly. 'ev-I resident of ,____ P.harlHt;9.JL- ___nnn__.'_n_____., _J!b9_~~_!~~~n tQIyt CINIe>> .net I reaided .L__U..___'I"~~9_~_ ~!-~t_P_.:_n___n_.___' Howewr,' M~ cNnged my domicile .... .... .......) . ~ .net M' .net M~ been . boN fide resident of the St... of FIoricM ainc>>____ " _ -- )~______________ncay of JUDe -- 61 2)00 .. 5)rd Street __________ _ _. ... ,__ ____ _.._ __ ______', 19 ___dO' .net I retlde .t --------- -"--- -------------,.----------- CIIrwt ... ~ Fort Pierce St. Luci. ____ _ _ __. ___ _, ___ _ ___ ,__ _____ ___________________, _______ _____________ ___ __ _ ______ __ County, florid., tcJty) . -, .nd this it.tement i. to be tKen .. my ded.r.tlon of c1timnship, Kt\M1 .... residenat.net domici'. in the St.t. ' of FlorkM. 0__ .... .., pertlfteRt ..... eudI _ .... of PfOI*'Y . ........ . ,.1Inq~1IM'" of ....Ia.-1I .. tor.. ......., ...... of ...., .. _ ..... purcM. of ...... .ecJ Enterinl Randy Pendleto n in It-tb Grad. " Walter. in 5th Grad. G 7244 FLED A~ECORDED IN N'/I!J~( (It <llBOOK 1961 AOO II AM 10: 20 ROGER POrTRA~. Cl[~:< ST, lUCIE COUNTY, fLOIUOA .) ..... . ", , .I" " ";1:) - .~; , _ " ... ,,>......... 'v' . ,:' ...\ .."..' '.{ ': "'.,')..... - ' /.,-...... ,'/-- ... '., , , " ..... --..... . . : ,", I", L-,...I,:.... '~ \' ~. ~.,~) . .7ty't- .... , . ("I '.. ow," -I'...... . (II -- ~ '::- ~/"'-"~~: .:: ~ _ . J .,','.. .~.~ '. . , \- ,,) I .,. . ,... 'Os:-' ~-,' ' . ~ {, ,., .,.' " ... .:' "',';' .. ' ,/ ", .. I 'on'':' '...,:":.,.1 .- :')j...,.....,..'.~') ~..' : ,,1. Ii \ .'>>' '..',.,~ 'J: ":u,..........~...,.J '. I fURTHER CERTIfY that I will regIItw .. my local .ddreIs when the registration boob reopen, end comply with ell other requnm..1a of . IegeI reUdent of this State. " , I ~'~ tMt I have no .....ntion to '*"" to my former domIdle. end I Intend to NINIn In______ '~~~~' T.. ...- .' \t -",;:\.1 81;. "",,01. ~ . . '~___________---_ ,_ _ . ________________________________ County. FIorIct.. ;,' -, '....- '1'. ,.~.~/,,'~'..:.... ~ ' ~'1, ~l~".~t} "Ji1"':~~ [; .~:~~\~~F!).:,. .:~. t 0 ~ ~ , .,', .,.,~tljJ"', ,. ...,'J-'l~, ,-.. ..,. (, ..,:.~,(~.~....'. "',1 --~--(-~- -- - - ---------- . .. ""i~t::~.. 'OW . ~ ' ",,' ',- ,........_,.,-'.. .' "0 '" N', ~"":',"/ , · '.. . ,......~, r..1--- P~~'..OD ....t~..,..~... .~l'..' , - _-t,....,___1r!!\.~__~____________________ ,c", ~ , , .~, A t - 61 Sworn to end subecrtbed ..... me.... .. U. ------ ell; at ____..___..._____~~__________. 19_____ -------~~-~~rrc-~----- '------------~~-PUbUC---------------- ., __~-"5i~----------~--- o.c. '"" CommIMkIn .... --------------------------- .. .. ....... .. ..... ... ........ .. ... Ch* ... c.t. ... ....... ... ... ...... ". ' ., - ...e, ,.,.. ......