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1444
E~~~~ ~r~~?~~~.t~ l~a~~.~ic;i~~ ~.~~~~~~~~~:~4-~~;~ ' 2992~0 t ~ rc~ ~~i ii~ s'rn~i i: nnu c~c~un~r~~ '~~nx nss~ .ssc~tt. ~ ST. I.UCTF: - - ('OlJN"I'l', I~LOitll)A: Tl~i~ iti my ~Icrl:iratiun of Uumicilr :~n~l C'itizcntihip in thr St.itr of r lorida ihat 1 am I`ilin~: Ihis ~lay in :~ccur~lancr, an~l in conlonnit,l' with Scrtion "",.17, Florida St:~tutcs. 1~v.iti formcrty a lr~~al resi~lcni ot~ _~.~l~~tr1~-- ~nd 1 ~s~:.~. ) (c'~>> ) rrsi~lyd at ~U-~~,~icv~~'r?~!!Q llo~vr~~rr, 1 havc changcd my domicilc io , (SUrrt and Numhrr) ' 1 and am .:nd ha~•~ h~~ru a buna fiilc rrsi~lrnt of lhc St.itc ot~ l~lorida ~incc ~~1~r-_ day of f~--- . 19.~y_, an~l 1 nsidr at __.2_6~~_ ~L~~~~~~- - - - - (Strcct and Numixr) u~~~~-r%----- - St. I.ucie Cot~nty, Florida, . ~~iid thi„t:ttcmcnt ia to hr takrn as m~~ d~~rlaratiun of cilirrnshi~~, ariual lct.+l r~sidcnrc and domicile in ih~_Ctatc ~,f Floriila. ~ (Imrri hrrr any ~~crlin.nt f~cl.. ~uch ac aslr oi pr;~prrly ur bwio~ss. or telinyuis`~ment uf rmplu)'ment at fonner . Jotnicilc. trmu~:d oi latnilr 1„ ncw Jumicile. purch~a of homr. a•lc.l r*:'CE~2T:~'G CIiILI)RT~.': Ifd SCHOOL: ~ HOi•~STi:AD F.~'~~iP'~'70':: If e:iteriu~ chi ldrei: in school, -ple~se 1.~sL thei.r na~ ~es: - ' i ~~~lc„'t ~ i ' . Fi~~o »4G ~tE~uRDED ~ ST. ~UG~[ ZO+iNTY FLA. RQS-; Fv~TriAS i CIE~:~. COURT ~ ~ RFC~ ~ F~ ~ J~N IS 12 2i PN'75 ~ ~ I HUR~l~lli:{Z CF:RTI(~1' that I~~~ill rcrister at m~~ local a~dre~ti ~~~1?cn the re~~ietration hooks reopen. and ~ com~~ly ~vith .?Il othrr r~c~!iirrmcs~ts ~if te~~.rl r.•si~lcnt c~f this St:~t:. I 1=URTHI~It Ct:R"I'IFY that 1 have nc? intrntit~n to rrturn to n~y furmrr domicilc~, and ! int.:~d to rcmain in s~~ . Lu ~ ~ r c~,t~:,~y ~ , - - ~ I~lorida, p~rma~~:,»tly. Ir~~y) . . , ~ , ~ • ' r'~!.~~. . ' -Q-' V v - , ~:c. - ~ ~ -5 ?rA7l'U:~T: ~V 't / G ~ ~ : : ~ . • - ' _ ~ - - t' - - - - - - - ~ • _ - S i~'-t>~, l~~~i? : ~ : - ` ~ t . • ' : ....r-' ~ ~ ~ ~ Sv?~orat'4 at~c'. ~u}~~c`~il~~`ci hrforr m~ ~liis cl:ty oi ~ - - - r fl-- - - - A.t). l~l ----i,~~~- t,~-itc C.1-i~~~s , T;R I'OI'CxA , CLEitK CTiZCti3")' C<)U}~i' , l~J;;r~_c~a y:, , B~~-~-l.~-~ l9 o~~~.c-L~r 1)c~ nur ^.1. rl~. . Y ~ t ~ (Tu br ~•ecutrJ ir ~Inpli~•:.~~• :~n~ ori;m ~1 fdrd ati~~h ('Irr1. l'ucuit i1u~r1. !u.: ~1~~{•lir:~lr nt Assc~ti~nl _ Bo~K 235 P~,..1443 . - v~ ~ ~ _ - _