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• t ~ 'i:•~AI~ t"r~•~ ~ 1.~r /'v ~r, r~`'.a'~ p~ . ~ ~ C.~~~ ~ L~~'~ :i~..t? ~ . ~ ~ E..~.. ? o ~ i c ~ ~ '~'O "I~I1t: STt1'I'I: nNl) ('~)Un7Y 'I A\ ASSI:SSc)It, ST. 1.UCIL _ ('(~UN'1'1'. I~l UIt11~A: - - - ~8si~~ 'fhi. i~ my ~Ircl:u~;~lic~n ol~ l)c,micil~• :~r.~l ('iti~r~islii~? in th~. St:~tr ~~I~ (~luri~la that I;un lilin~ this day in arror~la»c~~, :uul in cc~nt~c~nnitY ~vith Sr~tic~•ii ?~2.17. 1=lurid.t Statulc,. I ~vas formcrly a Ir;~al rr;i~irnt of _ ~ ltYn~Qf~.i r~5 ~ - - , - -~SStI~~.~iid 1 i (c•uYY (s~a~r~ ° n i rr~i~t~•d .~1 _~_!Uf-~..~~ost l~ -t~.O c~ ~Q_-- . tia~vcv~ r, 1 havc changcd my ~lomicil~ to (Slrrcl aud Numb.•r) ancl .~m ancl l~a~~c hrri~ a Uc~na lid~ rr~i~irnt af thr Statc o1' rloriu:i sinrc . d:iy oi~ ~ J/ C C~ • ~i.~r~e.~~-- . I~I 7-`~-, an~l 1 m~icir a! ~(n_~__._~1Ql~O ~1~C~1~--------- ~ (S~t and Numbrr) St. Lucie Count i=lori~la, a,~f----~~--~~~-~~ - . v• tc•~~.~~ ;~~ul this st:~l:m~nt is tu h~ takrn at my drelar:ition c~f ~ilizrnshi~~, .?ctual lcr~l residencc ~~nd domicilc in thc Statc ~~I~ Flc~rida. ti.-' . r_.... ..i .,r.......ro .,r Aua6.rcc .~r rrliu~~uichment of rmnlovmcnl at ~Of~11e( d~~tnicilr, rrt:iu:al uf lamily tu uc~c dontirifi, purct~~~.~ u( hutnr. ctcJ • - i:'.; T"C: C}iIL7 :i:?~ I"_' S~HOt)L: ~ I~Ui~t~:STF.All T;.`:EI~3P'TJO".: ~ t L-----? I~: ent~ritie cjiildren i.~ scliool, pler_sc. ~ ist t11~ir r.a~:es : ~ 'dZ ~ ~ ~ FILED Avt~ RECQRDED ~ ST.IUC~l COUNTY FLA. RG:.~n ?~~TRAS CLERF. C ' "U?T COURt ~ _ Rft;.^;~r ~aE~~~fIfC 1 s 55 aH ~75 f ~sss2o € ~ ~ ~ ~ ~ : 9 @ ~ ~ ~ I I~UR~'Hl-IZ CI:RTIFY tliat I~i-i11 rr~~istcr at my local acldmss ~~~hen tl~c rcgistr~tic~n Uo~ks rcoj~rn, and ~ rcm~ply ~~-itli .~ll olh~r F~q!iirctnrnts c~f I<<~.?1 rrsid~nt c?f this St.!t~. ~ 1 I~UR7'HI~.R CI~IZZ'If~Y thai 1 havc iu~ intenlic,n to return to my formcr domicile, and i inicn~i [o mm:~+n in ~ ~ _ ST. LUCIL _~0~:~ _ ~ci cs~ _ county, - - ' Flori~fa, permancnily. (r~"~ ~ ~ , - ~ : ~~.~tnu~~~:f.. . . _E~11~:.Li~ _ ~ t' - - ~ ~ ` - I N[~~iiR~- ~ f'V~~ ~-~i~~iyA3 •ti ~ ~ ~ : ` - - - - - - - - - - - ~ ' ~'r ~ = ~ . SIG:~iA'i'URL ~i~,.,,~ • ~ i ~ ~ ' U'f:-,t : = ` . ~j~oArii'tfS,ar ~i?l~sy'~~•~I~eforr nir this-- day ~f ~ • a: •...j,: ; v y _ ~ . _ _ _ _ n.i~. i ~ y'r ~ ~ _ ~ ~~ti1 lll~ Ct~ IE'S`. ~ ~nc~cf:~t~?~x~r~'~~~s , c3 c7 xc~~ 1 T co«~iT ~f ~ ~ , Fl orid~~ ~ ~ Fsy ~_L'ei~.~~_~• C] erk . ~ ~ (ln I.c r~ i uted in do;~h.aic :u~~t ~~r~i'~n ~1 fdrd ~tiilh ('Irrk ('ircoA ('~~ntl.: ~ ~~~li~ .~h• ~~ilh 'fat As.casorl 6ecK ~5 ~c~ ~1 ~ _ ~,x W.~ _ _ _ .