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Home My WebLink About2003 ~ ~1 ~ t t ~~/1 r'`~.a ~ ~ i.~r .i.r. ~ . ~1~~...1~~s`[~~ Q~ ~:\~L~•iV ~7v •~`•l~.V~ i~.•E IL~ • ic~ ~i ~ii~ ~-r,~ i~~: ~~v c c,<<~~i ~r.~~ ~~ti~~.~~c,~;. i~36446 f/ , - _ ~z~.. c'uv~~r~~. i~ i c,i:ii~:~: 'l~hi. i~ m~' ~I~rl:~ratic?i~ ~~f I)c~micilr :uul ('itir~•n,hi~? in tl?~• 51:~1: ut~ I•luri~la that 1 am filim~ thi> ~fay in :l~curclanrc.:~n~l in r~~i~li?rmit~~ ~~•itl~ Srrtic~n ,,,.17, Fluri~la St;~tutrs. v~l , - and 1 1~v:~~ furmrrly a I~,::il resicl. nt oi~ - ~ L itr) ---t---------- S~ ~ rr~iJr~l at _ fr~-l - Ho~~~rvrr, I ha~~e. chani;rd my domicilc to (SUrr nd Numbrr) and am and havr h~•~n a hon.i li~tr r~si~lcnt c~f tlm Statc c~f l~lorida sincc d:~y ot~ - - ~ , 1~)_~..~ and 1 rrsi~t~ at ~,~~~--~~-~t~~'~~~~/ (Sl.crl and Numbrt) ~ ~ 1--f!-t--'~ , - County, Florida, ~c•~~ and this ttat~mrnt is ta bc tak~n as my drrlaration af citizcnship, actual lrral nsidcnce and domicilc in thc Statc ot I~lorida. (Insrrt herr an)' prrGn.nt IaUS, soch as salr oi prupert.• or hucinecs, or reliuquishment oi employmcnt at former dumicile, rrmo~al of (~mily tu nc~~• Jumicil~, pu~rhax of home, rtc.) ~ yrrC~ ~-L-~ /~~GGG!~~e~..,r? _ ~ ~ - 5 ~ `~~~'~-~CC-L • ; , i~ - ' ~ -'L- - ~ v ~~~?-f_- ~~~~~L ~ / ~ ~ ~ - ~ v : ~ ' . ~ ~ ~ } ~ ~ s * Cr~ y~ _ ~ - ~ ~ - 6 - ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ FttfD AIIID R~~pp~ sj u~+~ cauNnr ` i Racf:, Po~tR~s ; - RF ~.P P.~~ ;~:CiliT COURt ~ ~ ~ F~Et~ i ~c 15 I I s~ AM 'T2 ~ ~ 236446 : ~ : ~ 1 FURTHI:R CEIZTII~ti' thc+t I~~•ill re~ister at my loral address «~hen the registration books mopen, and comply with all other requiremci~ts oi a le,~al rrsid~nt of this State. 1 rURTHI:R Cl:RT1Fl' U~at 1 ha~•e no intcntion to rMurn to my formcr micilc, and 1 intcnd to rcmain in ~ ~/.~iL`t._- _ , ~ ' , County, . Florida, pcrmanentl~~. (c~''~ ~ ~,OIS BRE~rER ~ . •,'''~~1?~ ~C ' ~~~L ; Q~:'v~ `~I : (Kame) ~ ~ ~ 4 •1yJ 1C+`•O, i. , , / ~ # • G! ~ ; ~ • • ~ ~ ~ _ ~ py ( dJrrss! ~ % { . : ~ ~ ~ '~~pPt~ to .~xldii~t~1t:; ~I h~ for. mc thi~ __°~-9-- d:iy of . ~ ~ ~ " ` ; ~~ra=~,, - - A.I). 1 ~l.? '2._ • ~ - - - . . ~ _ ~ ' ~~.~a•~~~ ~~M _ ~ - - - - - - - - - " . ~ ~ . _r ~y , - -,~,,L;~~ ~ ~ ~ go~205 YA~E2003 l11y Cc?mmis.ion r~~~irrs - - ~ ~ ITu ba r~rculrJ ~n duplia:~tr ruJ nni•m.d (drJ ~~~(h ( Ir~l. ('rtrud ('ou~~. ~nJ duplir.~lr ~~~Ih'I~x A~cc~+ur) ~ ~ ~ - ~ - _ ~ s,~".~.,, ~ ~ , .