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Home My WebLink About1721 ' ~ i ~ ~~t~~fa ~ior E c~ ~ ~mic~~~ cd ~~~i~~ ~ t:~t~~~ ~ ~ . i u~riii~ s~r~~~~i: n~u c•~v~~ Y ~~n~. ,~s~i: s~c~ii, 2994'76 ; sc. ~.ucTC--- c•oun1~Y, r~ottin,~: ; Ti~is is my ck~laration <~f Uc~nZicilr .in~l ('itiicn~hip in thc Statr of Florida ihat 1 am (31ing lhi~ day in ~ a~ror~lancc, .uid in cunfc~nt~ity witl~ Scrtion 2~'~'.17, r•~ ~a~~ Statutcs. . 1 ~ 1~~~as fc~rm~rly a lc~~a! resi~lcnt of..~~ ----~-~=1-" and 1 tc~u~) (s~~c. j r~.i~l~d .~t Howcvcr, I havc changcd my ~lomicilc tu (Succt and Nembrr) <~i~d ::m :nid hav~ bcrn a bona fdr rrsid~nt of thc St.rtc of f~lorida sincc I~~ S`~ ~?n~ day ot ~~_l/- ~ , 19_ _5't' aiut 1 resi~lc at a+'OS ~R~c~~ n -fl ~E , (5ircet and Number) _~Q_f _~~~'fZ~i - - - SL •--l.ucie- - County, l~lorida, (City) :.n~! thic statement is to hr t:~krn a. n~~° d~:~taratioi~ of citire~~slii~~, actu:,l h~~al reside~ue and domicile in thc State ;~f 1=1c~ric'.a. Qn~rr: hcir ary ~~.•tir.rnt facts. ~uch :s~ ~:r uf ~ruprrt~ ur hecinrss. or rclinqui~L~t~~~nt ot rmplu)ment at turmer dumicil~, ?rmu~al uf Camily t~, urw dumicd~, purci~ace of Lumc. ~Ic.l L?.TL.~?,-~G CHIi.~ <j,~: r~. sc:.o~L: ~~~~~~:s•r~~~ ~:~~rrn~rlo~;: ~ I f_ ei.L-erir.~ cl-:ildren in school, ~ please 1 ist their nanes : n~~~ . ~ - ~ ~ s i ~~C $~..c ~ - ; ~ f~ tE0 ANp AfCOROE~ - =T• tUC1E C011NTy FtA. CLERKCCtRCUIt COURT ~ RECORD YERtF~Ep~~` ~ •~N IT !U 401U'I'75 4 ' 2994~6 ; ~ - ~ 4 ~ i f i ~ i i 1 I~UR77lER CI:RTII=Y ih.+t I~~~ill m~~istrr •at my local adcfr~ss ~~~hc:n t~~r rcgistration Uooks rcopcn, and ~ rom~~ly ~~~ith all other nq!i,r.:m:i~i~ ~f a Ic;~a! residrnt oi~this Stat~•. ~ ~ l FUlZ7'}lf:R CTtt"I~ll~l' th.~i 1 lia~e n~ i:~tciition to ret«n~ to n~y f~rmer domicile, :ind I intend to mmain in t , . 3 I~ . . a _ ~r~ 1 1~[.Y2(?.e S1 • .t~~ ~ - - - - .v~:nt~~, ~ {=1~~ri~ia, r,titaiicntl lc•~~•> + ~ I ~ . ~''/"~}''J C~~17'~' ~-'-~°-~~'~'/~T-+7~{m7~+ - - '~r'•~ • - ~ 8Y1V:'i~ 1 V all. J ..SV~ . •.,CO~ ~ • ' . - - - - - ; ~ ~ - _ ~ : ~ = ~ S IG:~~~ 1'Uit~ ~ 't . ; ' ~s:~'~ = ~ ~~t a~.s ~~ti~',cc1 bcforc ~;i~ ti!i~ ~i-~y c~f ~ ~ ~ _ ~ T~:+~~~`•-"`.' = . A.i~. i~~ aos ~d~~ ~ - - - - ~ ' .•:I1i1.1_r~~-~t~ rC' S s " ~ ~ ; (?GI~.~ I'''iZ , (:LT??'R ;T i.Cl? i "Iw - l ~ ~ ~ lcrid~3 ~ ~ ~ ~ ' iiy Pr_t»~-}' C~~~ : ~ . ~ ~ ~ ~ ' 7n h. :rntrd in ~!u;•f~i'~ti ~~tJ ~•ri~ tn.~l fJr~t .,•Ih ('IcrF l'tr uif l'~nul. and dupltc:~fr ~~•ilh'la~ Acu•~w~r) s ~ 8~~2~35 ~17~0 . - s ~ ~ ~ W ~ _ _ _ .