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..~~.v•. ~.`r,~ ~ `'F..L~' f~ p~r`.~.~ . t•` . ~ . ~ : ~ i l t ~ t t e t . i : . ~ ' • a ti , 262442 (li! ~I,\'ii :1~1~i~Oi!~1~1~ I:\\ :~'-.~I ~::.~:I: ; ~ t; . t.i i • .('Ul;ti 1 1'. i~ i t)i:l I):1: . "I1?i. m~' ~t:cl.ir;i~icyt~ c,f I)~~ttt~~;!. ::t!~! l itit.•n~hi~~ in ilt: tit:ilr ~~1 1•lc~ri~la tlti.il 1:ui~ !i!in~~ liti> ~1:~1' it~ ' , j :::iu~~1::~ic.•. :in~! in rui~li?rntit)' ~vith Srcti~~ri ~?~.17, F~i~~iicia St,~tut~~s. ~ . p ~ t 1 ~~~ati 1~«rmc rl~~ a I~,~:il rrsidrnt t?f ~_.%~l'.~"?Gl1l~4~'i~j-- _ - - - . - :utcl 1 ~ ~ cc•~~> ~ tsi:~i~~~ t R i~~.iJr~1 al . _ _ _ _ _ _ . - - _ . - - - . 11o~~~i~~~ r, l h:~~~c cliangrd my ctomic•il~. to - (St~crt and Nuu~l•r~) F S :~ncl am and havn c~~•u a bona ti~i~ rrsi~lt~nl c~f tl~.• Stat~ of~ I~lori~la since ~2~ day cit ~ now ? : - - - . ~ ~~-'y~ , /~~~,?,t~ .tc 18~~-~f----.~ - -i-- - - - _ ~ b - -----(Strrrt rnd N?~mbrr)- i _ - - - - St . T~ttcie _ Coanty, Floric~s, ~c:~~~ > _ _ - • - - ~ :ind this ~tat~mi:nt is to l~c takr~i .~s m~~ d~ rlaratic~i~ ot~ citizrn,hip, actiial legal residcnrc a~td don~icilc in thc Statc~ ~ c~f Florida. " (luxri licrr am• pr~lincnt f~cts, ~uch a< <~te uf {,ruperty ot hu.ii:rc~, ~~f frlinyuishmcnl of rn?plu)mrnl at tormcr dumicik, tcmo~•rl uf fsmily to ncti~ domirilr. punhs+e uf hu~nr, cic.) ~ ~ . ~ ~ Entering children in school: . ~ ~ - o,~-~..~.~?~. ~ ' - . ~ ~ ~ ~ ~R,1~~,~, _ . ~ ~ i ~ ~ f lE0 AN { S~ ~~~~E ~ RECOROEO ROCER ~~UM~1' F E CLfRK CIRCUIT COUqT ( ~ ~ RECOItp yERrF~EO~ ~ ~ ~S 9 is ~ ~ ~13 ~ , ~ ~ € 26~~2 _ _ ~ ~ - _ r i s t ~ 4 F S 1 ~ . ' • ~ iress ~vhen the re *istration boaks reo en, and ~ ~ I FURTHI.}Z Ct:ttTIFY that f~rill r~,.,ister at my loc~il . dc p ~ compl3~ with all other requiremrnts c~f a i.~_al resicl~nt of thic State. ' . I FURTIIER CL'R~'IFY th.~t I ha~~: no int~::~tion to r~turn to my fonner domicile, and 1 inteizd to rcmais~ in ~ a s ~ ~ ~t. Lucie County, t ~ - - - , - - , ~ ~ }~lorida,~ r t , , . . ~ ,,`'t;V~,T_ ~~Q';,;~- _ I o ~7y/~ 'A ~ . ~vV''•^•• y ,~~~r, "'?'r"-_ "~'_"_v,~ s-= ' :'~y ~ a5 i.v~ ; .i~~i~~~i U ~T\3I11E'~ F ~ . ~ i.. ~ ;r a j " , ~ ~ ' , A ~ ` - -G.~,..-~ ff~ ) ; .~i` y ~ m• }•~.r _1__.V. Q_~ _ C~. ~~'CZ~(~d~/_-~ - - - - ~ , . ~ _ ~ ~i = . _ . (AJd~.•-.sl ~ .L f~/`. ~ S~~r~rt~ ty~~mil~~~l~cxil~it•cl h~fc~r.• ~~~t~ ti~;,~ ~ cl:«' ~1 ~ j~, _ - ~..T'•. . - - . r1.~). ~~i _ 7~ . z: I;~~.~~:;: 1'OT i~l;.. C E;~ZI: C1 !:CU1T Ct~~.1~.;' ~ - - - A. - - ~ . -~,~,c BOOK ~18 PACE . ~ , - , C•~7i. ; :.I:_ ( I.c a ~i ~ utrS i~; ,:•'~•b: alr ..r~ ~r• t:; .i ~:lt i L ~ i l n. uil t ~~~r 1. :fUJ ~Suj.E~. .~la• :tiil~ I.~i '.~xnS~r~ ) ~ y` -t.~~~ r ' 'y~ ~ ~ - ° r ~ ,~z~ 'S~~x.4r~ z~.x__~.~.. _ r . `d`-r".~. ~ti,,...~_~° _~_.~a-;"i~