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Home My WebLink About0740 , . • • ~ ~ . ~ ~ ~ ~ ~~E c: ~ : ~t,}i~C l~~ ti~ c~~~! ~ "1l) "1~111' S"1.1~1~1•. n~l) ('U1?11~1' ~I :~X ~1~~I titiUR, ~ s'r. l t~c~ c'UUN~I Y, i~~.c~ttii~,~: • 298'710 ~ ' ~ ; 'fhi. is'm~~ ~I~•rla~aliun i~f 1)<?mirilr aii~! ('itiz.~n,hi~~ in tl~r S!atr ul~ I~I~,riil:i ihat 1 am filinf~ thi. ~lay in ~ :~~ccn~l:i;iir.:ui~! in rc~nfc?rmity with Srrtic~n ?~,.17, Flc~rida St:~tulrs. ; : 1 ~vat f~~n-tnrriy a t~~~:1I S~SIU~iII ~,t~ ~~iAro_~g,~tS-. - _ tlnd 1 ? ~t.~~>) , - - ~s~~te) # r _,SC~_ . llc~wc~~~r, t havc chan~~rd m~~lomirilc to rrsi~lr~t .~l ~ 1.. w~ ~ a, . - - - - - - r ) s (tiU.rt anJ Numhcr) ,f~? ` aiul am ancl ha~~e hr~•n a hoi~a lulr rrtiiclrnt of thc Stair c~f I~lorict,i ~ince day of . - . . ~ l a ~ _ k ~ ' - - ' , an~t I rr.id~ at _ t.. _ 3 W ~ a----- - ~ (Strrrt and Numhcr) ~ i - - ~ . ~.~.e..~cE _ _ , SL . Lttcie - C~unty, I=1ori~la, s ~c-~~> ) - - - - - - . ; ::rcl tl~i~ ~tatrm: nt i, tc~ hc takcn as in)' ~lrcl:uati.~n c~f citizrnshi~~, actual lrt:al rrsicknrc an~i domicil~ in th~ Statc ~ ~ ul~ I~I~ricf;,. ~ s ~ (lu..•t: hi•rr :u~y ; ctt~t~rnl f~rl~, tiurt~ a~ a,dr uf ~,n~pe~t: ur bucinc~c, i~r r.~lin~~~i~hrnrnl uf rmploymcnt at f~~rmrr dumicilc, rrmu~a! ~~t la~tuh• t~, u~•~< <;t~m~cdr. purch:~~. .~t hnrnr, rtc.) ) I:':~~ i'_=:I'' ~ ~IiII_~Iti:'1 T'~ SC~;OOL: liOT~iL:STi.~ti) T:~:.:?~'?'l'I.0':: ~ Tf e:~Ler::n~ chi.iclT-en ::r~ schaol, - }~le~.se ~ ist i. f12Ir t;a~~ es : w~-~~__~_ /~.~/y~~-, ,_c~.: ~ l,~ ~ , l ~ ~ ; tI1E0 At;i NtCt?~DfO SL itlC7t ;,~~~7Y FIA. ~ fl~CE„ ~"vi7FAS ta , Ct ERt :.~;Lvti COURT ,~T~ ~ ; AFC^`': yc~.:= ~0 ~ ~ ~ ~ J~ l 3 Zi ~H'~5 f ~ 4 3 t ~ ~ a ~ _ 298'710 ~ ~ ~ ~ t k yi ~ ` l 3 I I~UIt l~lll-:!Z ('I:h'I It~l' that f~vil! rr,•i,trr at my loc:il acidress whrn thc rcgistr;ition hool.s rru~~ci~, and ` ~ ~:;n;E~l~• ~~~ith all ath~r rcc~~.iirrmclit~ c~t lrr.:t rr~iiirnt c~f thi~ Statr. ; ~ } ~ 1 1=UIZ~~fll~ft ('1•.K"I~II~Y ti~:tt 1 I~u~.~ n~ inirnti~~i~ to rcturn to m~• form~•r dc~:nicilr, and l intrncl t~~ mmain in ; ~ ~ ~ . ~ - ~~~t s~. 7,t,~,Ir ( outttt~ - - - - - - . - - - - • ~ - - - - - - ~ ' - • ' ~ ~c~~~.? ~ uq(~.a~ e. • i l~lori~ia. ~~c•rman~i~tfy. j ~ ~ ~ M _ - - , - - - ~ - r• ~f Tr+rTr?r 1 - ;:~;t ' , / \ J li.Vllll.'1'.t. F'.~ „ ~ .~i~a ~ J T ~ /y ;~r - - - - - - - - . .,`~.y~~_ . . ' SIG~~h~l t~T.?. `5' ~ . • ~ - ~ ~ .r _ . ~ ~ . . • • W~_ - S}tk~cii lo.~nc) ~u~j~t~.c''~'~~clc~rr mr iliiti ~la)° c~t ~ ~ ~ ~ = ~ ~ ~ a 9 ~ s . ~ ~ J ? ~ ~ ~ ~.3?'~l~''~-::--= A.t). ~9 . y:: - - _ . - .~~~~i ~ii~ ; c, ress ' . ~?(`C •'~~;~~~y~. r:I.i;'~?, CTi; ;[i i' )Ui2~' n F~oiic._1 ~ s - ~ ~-t---- ~ - \"j ~~Sc1~~~ 1 ~ 4'. ~ ~~jr '~I jiC'~)i:~-Y E,1'~ • . ~ ~ ~z ~ i ((u h~ r~ uI~•~! u~ ~I;ipL•..ilr :md urir~r :l fd~•:I ~~iU~ 1't.vk ( ~ri'nil 1'nurt. •~nd d•~j~hr:~lr .citl~ (at Actccsor) - ~}t~ BCkK~~~ f"Uf f clc~3 ~ ~ Y..~ . . _ - . ;Y-, s > . . . ' . _ . . . ra.