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. • . • r ~ ~`wi~~ ~ ~q4 ~prrti~ r~ ~ ' ::~V E:.t•~:~~VL~ ~ ~..?{V~ ~ °.+i:y.~. Y_jsl~~ r l ~ ' ~ J' 1\•~,'~. /,i\'~ f\~ l,.l.l' ~ ~ . St . ),UC lE'_ ~ l - - c~uu~~rti~. r~ t.c~Et~u,~: 2~~22r79 ~ "fhi. is my ~~~cl:~ratic~r~ c~i~ Uc?n~+~ilc :i~~~i ('il~ir»,i;i~? ii~ lhc St:itr ~?I l l~ri~;a th:,t 1 a~u Gtiri~, ~i.~~• ~s; - ~ ~ a~corclancr, ~~nd in r~~Zfonuitti~ ~ti•ith Sr~tic,n „'.17. l=luri~ia Si:~tt~t<;. ; ; 1 was fornterly a lrral rr~i~frnt c~f ~~.(~~C~~Q - • ~~v~-- 4~.k :~nd i ~ - ,~J cr~„ ~ ts~:.:~~ ~ resict~~! a1 .(~.~~---.---9~.c~ ~.G~~ ~l~ ~ e-'---------- . Hc~wr~-rr. I hs~~~ cha:~;~rd my dc:nu:iir to - (Jtreet a~td Numbrr) ~ and am and f~a~~~ b~cn a bona iidr rrsiclc~tit vf itlc St:~tc af 1=1~rda sinrc day oti _ now = _5~~~~________ , ~7 3, ~,~,a ~ /~z„~t~ :~t ~~_t --t'~e,\oc~- ~~~a.~__~ i ~ _ cs«< »n ~~me,Q~ Q, - - • ---St . Luc ie_ _ - County. F~lo:i3a, ~ (Citr) ~ anct this statemcnt is to be takei~ as n~~~ dcclaration uf citizenship, actual lr~ai n~sidencr and dc~micit: in the Statz ' caf Florida. ~ ~ ~ ; (lnsrri i~ere any pe~t:nent farls, auch a.c .;itr nr ~r~~~r~~y ~~r Dusinrac, ur rrl:nquiahu+rai uf cm~doymrnt st (ocmer doniicilt, trmoval uf family tn nc~v d~~miriir, put.ha~c of home, ctc,) ~ i . ~ i e Entering children in school: ; . r ~ o. `Y"o. fl ~R.~ ~ ~ ~ ~.b b ~ Q- ~ ~ ~ o t~-- - ` f lr. 1~. T~-•~ \ o tQ, s~v°c E' cai~ir ~ ~ RpCElt POITMS - Clf!~x Zt~CIfiT COrRT ~ RECCflb VER~f1E0~..~. ~ Arc 1~ li ~s 1N'~3 - ~ ~ . ~ _ ; - i zs~9 I FURTHER CERTI~Y th:~t t~vill re~ister at ;i~v 1oca1 address ~~fien ihe re~tra~tion boo!:s r~~olxr., ar.~ ' comp(y with ail htlier nquiretncnts of a l~~:t1 resident ol~ this State. . p . ~ i~; , ' I FURTHER CI:RTIFY that 1 have no inte~itioii to rrturn io my fornzer domicile, and I intend to r.~z2: ir~ i:. ~ ~ ~t . Luc ie ~ ~ e-R~n" ~'P'-- - - . Co~nt}°. f Florid~~,pe~t a~ently. «'`Y~ .1~,', . ..f 1~ , ~ .,,;l,~..~~" ` i` ~ ~ ' : p' • - r - ~f • ' i _~~/~_Li~~~~, ~Z~~!"~L " - . ~ ` •~..i~~~. • j:s ~ ~ t ~ . ' •~v~C-4 + GP'~- ti' ~ ' = G' . ~ r ~ : ; _ G n ~Y ?~n1 ~ 't~ ~ ' ~ ' ' ~~i~~/ - - r ~ ~J - ;T :.S', ; i4`' G ; - ~ ~e~-' / l ~ ess} i :;lii~~~=' , , : St~t~,itl? to,~ ~.~j~j~`~"' hrfur~ mr ttii; ~lay ~f ` , _ • 4r ~ ~ , ;'r . ' ' ~ 73 ~ ` ~fls - - A. t). 19 _ . . ~ . , ! ROGl:~~`~~I'rRA CLERK CIRCUIT COURT ; - _ ; ~ - _ ~ . ~ ~C trl.~ d~ ~ ~ Uep~~ty CI ~ (To bc c~.•cutrJ ~n Jui~h..~~~• aiiJ ~~n; ia ~l li ~f a•.~tl~ ~"1.~~? t'~nne+ ('~.url. ~e;J .5~.~.1.. ~1e ~:+~ti 7~x A~sa-•--~1 ,a~ ' - - - - ~ a_~~.,o:.dz,.._:,.~'~5~,.,._h` , -i"s.~?'~~...~,.~~-~''