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Home My WebLink About1295 L~~~~~r~.~~~E~~ c~ Lr~~a ~~~~~~e G~~ Ci~i~er~~~~i~ ic~ ntiu c~c~ut~~~ ~~.~x ,~sst:sS~ti, 299139 > s1•. t.ucTl~. - - - c•c~un~rv, i~~.uii~nn: 'Il~is i; my~ ctrclar;itic~ii c~f Uomicil~ ,,n~l ('iti•r.cnship in thc Stat4 of I~Ic~ri~a that 1 am lilin~ this ~1ay in ;~rconlai~c~. ::nd in cc~nf~rmity ~vith SL•rtic~n "",.17, 1=1ori~ta Statutes. l 1~~~as furmcrl~~ a I~~~al rc,idrn~ c~t~ Gr C~Q~L~~--- ?s-~~'~_-_--_ and t (City) (Stalc) rrsi~lr~l at _~=W~N-y-~d--'- . tiowcvcr. I havc changc~l m~~ domicilr to (Sl~crt ~nJ ~lumbrr) ai~d an~ :u~d lr.~vc bcen bon.~ fid~ rc~i~l~nt o1' the State. c~f [~lorida since da~~ of . ~C-l1~l-- - - - - , 19 , ancl 1 rrsidc at - - -L~~Q_ -_`~.~~?_~-~~(?,tJC-..------ (Slrerl and Number) ~Ur.r _ _ St . Lucie Count f=lorida, S}._ l_;~C~~ • - Y• - . (c'~~>~) ,:nd this statcm:i~t is to br t:~kcn as my dcclaratiun ot citi~cnship, a4tu~it tcgal rrsid~ttc:c :ifl(I C10fillClll' lll 1I1C Statc ~~f rlorida. . w.__.. r~. •.~.t.• n( nrnne~lv ur hu•.inrtti. ot relinuaishuirnt of cmplu~mrnt at furmrr ~iiuCi~ 3: j' j~.. ~ . . - dumi~il., ~cmu~'al ut (awil~• tn nc~~ dutaicil~, purch:++e of I~~nnc, ctc.) ~ F,i~+TL•'i~T.',~ C~IILDR~I1 I': SCHO~L: HOJ•II:S1'EAD EXEi•tP"~IO`:: ~_I If enter_i:~~ chilclr.en in sc~iool, ~ ezse J isi: th~i_r i~~z~es : - FILEO AM~ kE(:ilhOED ST. LUC~ .;JUMTY FLA. R~ r ~i~AAS Cl: R!; .<<~~- ~,iURT at^r,~r t•rf:~j'F~ ' J~+ I~ 10 44 AH'75 , ; ~ ~ ~ ~9139 ~ " 1 r1JRT)II:R CER"1~11=Y that 1~~-ill r~gist~r at my lo~cil adclrrss ~vhrn th:, rc~ti:tr.iti~~i~ boc?kt rco~cn, and cc~tt~~~ly ~~~ith all uthrr req!timmrnts of a!:•:=:~{ t.:icl~ i~t oT this Statc. ~ 1 l~UR7~11f:K CI:It~71=Y [hcst t havr n~~ inlcntinn to rrturn to tti~~• torn~~•r ciorn~rii~. .~nci i iiii<<iu t~? iiiiia~;~ aj~ ~ ST. LUC~E ~ Gr ~ - ~ ~-=~L~ _C-~ _ . • - - - - - - - - - C'oiu~ty, l~Ic?rid:~. ~:'rm:?nrnily_ ~ - - - - Gs'.~-r~..t " ~F~.c.~ t~..~ a7~~~~~~~ y ~ ~ f' ~ C ~ ~Q _.L~ ~ ~ - - - - --S IGivr; l' ;ci. . ~ v ~ ~ • • CO•,•~ ~ 5~.~~ ~t~~i't '~~~,t#ti'~,a[1A~~cfi brtuir mr i~~i: l'fL d:i~~ ~~f ~ r,,; ~ ,•i.~~~,. t>' " ~J ~ - - r , _.-~.a - . ~ ~ T ~Y~ Gs~~ 1`~' . • . ~ . ~ Y . ~•1~ 1 i n~ f C Tl' S S . • r~ Y~ • `~.l~~.I~}~ ~{~.lT l~_,~-.~.._) C~)LiI:~T ' , F, orida . . ~ ~ =,,t.,~~/. . . 1CCC '=';~ut}' l,lcr?: ~ • :,i !'~t`~ ~ ~ ` ~ i ' ~ ~ nJ un:•in d I~~rd ~•.uh ~'In~ l'irruil 1'e~ure. anJ Ju ~licatr hilh 7a~ A~u'seo~) - (To t~c cacrulyd in J~~i ~ 1 ~ b~~K2~35 ~-~i294 ~ X '~''~•:~i_. . _ . . ~ . . _ . Jf i'"+~"'