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Home My WebLink About0448 . . E , ~ I a~~~: ~~~i~n c~~ C~~~r~~cii~: C~~~~:c~~~srp ; ~i~u s~~-,~~~ ~NU c~c~uh~~~~~ ~,~nx ,~s~~ ssc~K. '298461 i S'I'. 'LUCI1~:--- _ ('UUN'I~Y, I~LOftII~A: ~ ~~his i~ my ~tcclai-atic~n af Uc~micilc an~l Citixcntihi~~ in ihc Statr of I~Iciricla that I:im tilin~ this d:ry in a~cur~lai~c.•, an~l in cont~ocmity ~~°ith Sccticm 17, Florida Stalutrs. - - 1 ~vas funnrrl~~ a lr~a) rrsid~ nl of - - - - ~ - , end 1 ) (sta r..icircl at 9~~~-~~- .~lowcver, I havc changcJ my domicilc to (Slrert an umbcr) and am ~u~d havr bcrn a bona lidr mtiidrnt of tl~c Statc ot l~lotida since . daY af' , _~Q_. - - - - , 19 anci 1 m:;id~ at - - - - (Slrrrt a~J Numbrr) St. L~tcie-_-----` - County. Flarida, - - - - ((•i~y) - ~ ,:nct this statcm. nt is to !~c takrn as my dcclaration ot~ citizcnsl~i~, actu~~l I~gr:l residcncc and domicilc in thc State oi i=1c,~icie. (In..r. hcrr any prrlinrM factx v~ch i~ wlc ~~f prupc~ty ~~r hutiinctiti, ~~r rrliny~~ishment of rmploymrnl at fonncr dumicile. rcmo~:J uf t:+ut~ly tu nc~~' dun~icilr, purih~~r linmr, rtc_) " ~ c.,:~i,~c ~H~1~~?~-T ~T; sc~~c~~L: ~ xor~.s•rr~.D E:~~TiPTTO:'.: If er,~ering cl~i~~rer. in school, l,te~ se list t}~ei_r I13I~lE'.S: ~ ~~1x~+~~~,~ liCZf ~ ~ f .~iT~t~.S , ~t~niXE$~~ C i f iil T~AIJRr ~ \ , 'wr j 9 ~s ~y'75 ~ E ~ 'v 3 ~ ~ 29~461 I I~URTIil~.K Cf:R'TIE~I' that I~vill m~~istcr at my loc.il address ~~~hrn thr rrgi~tratio~~ baoks rec~~,cn, and runi{~ly wilh .~I! ~thrr re~~!iir.rncnts c,l~.t 1.,_al rrsicicnt ot~ this Statc. 1 I~l)R"CIII~.IZ CI:R'I'1}~l' th::t I ha~•~• no iiitrntion to rrturn to m}~ tormcr domicilc, and 1 inlcnd to r~main in ~ - . _ ST. LUCIE------ County, - I~lori~ta. rm:~iu•nt1y. u~~~•) ~ r~= . - - - ~~~-z-~.r---- - -~STG..t : .;F ~ . ~ ~ ~ ~ ~ . , . - ( CT¦/~_ 1~ ~ ~ ; ` fl J ~/~~5 =.}~~a`I;.*!;) ' _ _ _ -__-V AV1~(1,~,~1\~ '•_7"+ .~Il a'~]5.~~}~~i:. = ~ = ~ li ~ , c~U' ~ ' , ~ ~ St~t~rst to an~~~lf$aa'ibcd hrforr n~:• 14iis ~P- cl.~y • ~ - t `.i'~.~ - - - - - A.1~. 19_. ~n~; ~c,cress ~~';~g~ 1'd'i~r1~, CI.Li:Y. ~)~1t~:JI"t CQLI::' _ rlor~da ~ n. +•-~---..,-.-~-..~--~...~-..r j. O ' .i 13y' " _c,~~~~,r_}? c~ (To h~• r~~. eJ ~n d~~! fii cAr :~nJ ~~t~. ~+:d f~lyd ~~ilh 1'Irsk. ('i~i ~~it 1. a~~J .I~ ~+~Ih (ax Ac~e~cur) ~ do~K 2'35 ~~.t 447 ~ ~ ~ u~ . _ . _ - . : ~ - - - - a. .