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: •.h.. • 1{y{- ~ p¦~; • •f ~~'S~R-: t~ . • DP~~ • ~~~J~N~~\~a' V•¦ V S M/ ~Y t~~~Li~~ ~.~C~ i~\ Y? ~4+~~.i~l Y'.l! Y~j~~ i u-1 i ii~ ~~i n ri~. ~~~n c c~~,. i~~ rn~ :»si~ ~s~ - 26,~'s0 St.Lucie ~ - t _ _ - - - - - ~~Ol1ti`! l`, 1~ 1.UR11):'1~ 1 1 'I~ltiti i, nt)~ ~l~•cla~~aiic~~~ uf l)u~?Zi~ilr ;~n~i <'iti.-~n.hij~ in tli~ St:it.• ~~f~ I luri~la ih.~t ( ai?i iili~:_r this i+ti ( ~ accurcl:tncr. ::nd in conlurmit~• ~vith Srrtic,n ~'~.17. 1=1c~ri~la Statutcs. ~ ~ ~ ~ ' t I wa~ forn~~rly a ir.~ai resi~icnt ot'_ , - - _ . ~~:c! 1 ~c•~u~~ (s~,~r~ r~sidcd at 3_9O~-.~_j'~p~~ -~/_'P .}lo~ti•evcr. 1 h~~v~ chamrecl n~y dc~~;:icilr to ~ (Strcrl a»d f~urolxr) ~ ar.d am and h.iv. b~•~~n l~ona li~te r~•.idciit of Ihe Stati c>C t~lorida ~incc _-__~_S: d:~y of ~ now ~j . ~ ; - ~!~2~~----- - + ~ ~ illll~ ~ ~'CSII~C :i~ __Y_ ~1`~_ J ~~C.,~ e^.T~%?~Ll/'~~ ~ : -a~~------ - ' ~ (St~.•et at~d t~iurt~hr?) -_~~i-'~- ~ - ` ~`.G`~---- . S t . I.uC le Coiutty, f ~ 1<~ri<l:i, cc~„~~ } and this statement is to he t:~krn as m~ d~~laraiie~n of citiTenship, :ict~~al Iegal residence .:~~d ciomicil~ in tl~c Stste of Florida. (Inscri herc anr pert~Rrnt farts, such as s~lr ui pr~~prrty or bucirtect, u~ rclinyuishment of emplo)'mcnt at formu dumicile, rrmo~al ut family to new A~~n~i~Je, purchase of hume, rtc.) r-~ En~ering children_in school: ~ . . ~ , - L~~-,~a ~ - ~ . ~R Ct ~4~R. P01T~ ~ RECO~D VF tF~E~j COURt ' ~ 1+1 IO o6 AN '13 262~0 ~ . ~ ~ I FURTI~I:R CERTII=Y th.+t 1~vilf re~~ister at my local acidress ~vhen the registrati:~n boot~:s reop~,1, anc{ ; cvmply tvith a1! oth~r mquiremer.ts of a lcgai resi~l~t~t of this State. . ; € 1 FURTHER CERTIFI~' that 1 hav~ no intcntioj~ to ret«rn to my fonner c~omicilc, ancl 1 intcnd to rc~i~:~~n in ('oc.?~ty. ~ ~~+-v~`-"~"~=- St. Lucie___._---- rlorida, pcrmancntly. ~ l{ea.~iYt7~ ,:.ri......,~~ ~ y . ~'~,c;U r~r; : e ~ J~ . . ; - _ ~ . . o ~ - T `~Ut a ~'t G (Namc) . _ . ~ . _~-7~.• . ' ~ ~ ~8.".~,~e : . ` , : : `'Ja-~~ 'rS p ~ _ ~c ~l~~ - • - - - - - - - - - -i . ~ ; .~a _ 3 Z (Ad~ir.-~ti) .s: _ - - ~ : : . '>,Q~tirn•fo~°t~~.tj~ay~~ribr~i brforc mr thi~ ~ ~ cl.i~~ ~ ' ~rr, • # • • ~~'s e s :1 . ~ - - - , ~1.t). i 9 _ ~3 _ f f - ROGCR UITItAS, CL~:it~ CTRCUIT COi)~~T ~ - - - ; - ~V ; _ ~ eaac2~7 ~?c~ 2~ ~IE'~)11 ~ ~C C : (~ul+t• r~rCUl~•d In J•~~,i;. ~Ie .r~~il nt~_'1n.~1 f~{: ~ .iifi (Y~~F f l+iuA f'uqrf.:ule1 Ju(~lo hlc• 1al~li I:e~ '1.. e'tit•y) ~ ~ ; : _ _ , ~'_~~5 ~ . ~~a= -c - x Y, °x.x " '_";'x .