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This is rry declaration ~ bad ~ ~~ ~ BMAMt ~ !~'~ 1 ter~p fle~q this ~Y fn aorxxdar+saa,
tend in confarrri;ty with Chi 2;t~, 3ec?6ur .5i, ~i.,
i was farre~rly a f~l r'elicl+lrnt of...:__ H1s'ki~i~-..._..___ ____ ___.-__-________.._, ~'al.i.~px~nia
F.o,~ox ~.3~-
and I resieleci at 112 ~Va't~rfc~rd
_ ____.._._,.__..___.__-____.___-- _ fever, 1 h-avto u~'-an~ad my domicile
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tra er~S em end have been a ba+~a !`&r.4e rat of t'hor State of Florida sin~e__. - _ - .~~~ _ _ _ .. _. - _ _ - - - ._ _ -.......day of
- ._ S~~7t~tAbE',L' - - - _ ... -_.____-, !rii___.~~, anci f rra~idfe a? _ _,_-._ RO_%t@.-1t._ Bf17C $~
. ta+osw .~ rat _
_.. ~'ar°~ Pied ce . - - - St ~- Luci ~
- ----__--~-- __------ --• - --- - ------ Ctwnty, Florida,
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and thin staternbnt i, tr ba taken es my declaration caf ci;ixenship, actual 6e~a( rasixSenc~# and dorr-itife in the Stare
of Florida.
(Ir~ax* Mpv aMr V~'~~ E+aes, K+~si+ sr tale of peosary er bwsMse4 ~ ~q p( y~oy.~s~t e~ fawn+or t~on+4e3M,
r«+rovs! of itmitr b n+w ~bmidt~, pu:'etvis,~ of h~r», +1s.1
Enterin g Ra~ert ~ienne~h Noara in 1(3th Grade
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1 FURTFi£R Cfi2TIFY that ! wr11 regis#er at my lace! s;3rfress when the rss~istrm?ior; f:ks r®estaen, ar;o' cor~tP>ly with;
aii other r~i~irerr•;ents ref a !tea! rr$sidarit of this S*a?e.
i Ft.tf~l;-9ER CER'fiFY that 1 have r;o inter~ttion to return to my forrrser dorr;i:ile, ~rrod ! irvter~d Ora ;err~8ir, in-_ .._
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~itr bra axveq csYC.s¢ >.. ~=s~=:a~is~ x~+•~d reri~:r.:S Ss9+at# ~ i«F~"a ti,~~es3tEP +: t~:+¢~ ss&°~ `t'p~ ;~tffes~as