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{-•.yr~r~~~' . ~ ~ ,,R~_~~.0 i...,..~ ~ ~ . ~ ~ ~..s - i. i L ~ t : u L.~+"...i _ fi : : ~ ~ r ~ ~ i i ~ a i a . k ! . , a ~ i i ~c~ ~i~~~i: ~~f i j ,~~i: c~c~u~ i ~i:~~: ~~c,E:. 2628(}0 St.Ltt~~c~ - - ('c)t'\'ll', l~l.ul:il~:~: 7hi~ tti tt~)~ ~lrci:u:~li~+n c?1 1)c?t»i~i!~ a~~~i ('ili;:i;~hi~~ in ttir S:;~h' (3~ ''I(ii~ltl:t tl~:tt I:u1~ liliilr 11~is cl:iy iti arcor~i.~n~~. :U1cf 111 COti~cr~tlltlS' ~~'iili Sc Citvlt ~.17, Fl~~ricla titatulrs. - ! was formerh~ ~i !~•;~a! resi~Irnt uf ~ _ - - - - - . _ ~-~f__~?~~------- ,ui~i 1 (l'it?' 3 (Slatr) rrsidcd at l-Q_~~l - . HoH~c~~rr, l h:iv~ c:han~cd my donticiic to (tilrcrl cC;~~r) ;uut am and ht~~'c iken a i~o~ta tid~ residcnt of tt~c Ststc of f=iorid~ sincc cizy ol ilOW ` `~~~.r~- ~ - > ~ 19_ and 1 ~r~tii~3~• :it _ e5. ~ (Strret and !~uml..~r) - - SL . Lucie _ • - - - County, F=1orid~, . (C~~~•) and this stat~amnt is to bc takr~z .is my clcr!aration .~f ritizc~~shij~, actual lc~al r~sidrncc and domicilc in thc State of Florida. . (Insrr; herc any pcrtinr~l fatts, such -s. ~sir ut prupcrty or bu>i~:r~c, or retinyuisiiment ot cmpluymeot at furuttr - domicilr, rrmo~~at uf f3inity to nc~~ do~c~ic~le, puriH.~.r ut hnmr, ctc.) ~ntering children in school; , ~ ~ ~ co~oAris eoc~a Pa, ~ RE ORD VER f1FD C~~ ~ 12 ss PM'l3 zs~oo , ; ~ k - ; I FUR7~1it:R CL:RTII=Y tlzat I~ti~ill rr,~i~tcr c~t ti~y local address ~?~hcn th~ rcaistration books rco~~en, aiid ~ ! comt~ly ~vith all otltcr rcqiiirem:-~:tc of Ir,~al r~~icicitt of this Stat~_ - . ' I FURTf~EK Ct:iZT1f=Y tt~at I fia~~e nc~ in.er~tivrl to r~ti~1-ri to mv former domicile, aiid ( inteiid to remain i?j . St . Lucie Count Florida. ~err~~anently. - ~c - - - - - - ~ . , - _ . ~ + - . , . ~ - • n.'•, ~ H ~~G~~ : E l_/_ c~ac~-~~- _ J • ~ . . - - - ~ - - ame) • ~'~~'••.ys~ ' il " ' ' ' •y:}r' ~ 1'1: ~ ~i~'~/!~".-.L.~=_.`-'----- ~A:~:Ira•ct ~ - - ~ ~7~T'~ s . ~ -l~~~~ { . , ~ • ~ ~ i ~`a~At-jiFtcf:lttd'~'E~'rit~:~~i l~: f~~rt~ li:i•, y c~:iv ~f ~ ~ ~ - • C (1' 1 . _ ; " ' ~ - - ' -,1.1). 19 73 . , ~,~,r... j~~ ~•I'Rl~S CL C T;~Cr ~ I'~' ~t~L';,'" _ c. .,i::. ~ 1::, ! - • r- - ~ - - - ~ - - . G , ~ c ~ _ ~ Q g ~ ~17 ~ ~ ; : . aa~ 21 - ( I~n I.i i~.r~uf. cl 1~: A~.~•'r .~~r ~~.~.t .~u'~r. ~1 .tS~.~~! t~~71~ t 1 ~l t ~nE ( i~Utl.:..~.1 ~{i:~~Sb.:l:' ~.~Itli 141 t~v.i.~~irO i .,n` . . _ . . . .r.. ~