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Home My WebLink About1937 c~f ~~r~~~i!~ ~~tc~ ~~ti~~~i~~~~ rc~'1'lll. S"i~A"l~l: ~1NU('U11V7~1} ~r,~x n~srssc~~t. i~~96~2 ST. LUCTI: _ ('Olti~'I Y, l~l.(11t1UA: ' . - - - - `s 'll~iti iti my ~Ircl;ir:itiun of Dainicilr a~ul ('iti-r.cn~l~i~i in thc Stalc of t~lorid.i ihat ! ant tilin~; thie day in ~ arcunl:inc~, an~l in conCurmity wit{i Section '"'_.17, E~lorida Statut.s. ~ _ ; . ~ 1~~~ae formrrly a I~~;::I resid~•i~t of ----~._-~s:~1~~`~1f~Z11--- 1- ~14°~ - and 1 c - , ~c~~r) ~s~~cy i rrsi~lc~l at -~!~~l - ~j . Howc~~cr, 1 havc chanbc my micilc to ~ (s~r.~~ nun,tK•~~ ~1?~ ~ anil am and havr Uc~n a bo~ a tid~ r~sidrnt of ihc Statc ~f t=lorida sincc day o1~ # ~ ~ i v/, _ ~ ~'~1?~,1.•~'_1`t~' _ . 19 ~S , and 1 residc at ~ O_~_~__!~1..~ -_~~t1_,---- J V~ (Strert ~1 Number) ~ St. LuCie U . - _ _.~/~'~-J------------- . - - Counly, F=londa, . (c•~~> ) ::nd this statcmrnt is tc~ i~c takrn a~ my cl~claration of citizcnshi~~, actual lr~al nsidriirc and domicilc in thc Stafc ; s uf I~loricla_ y (In~cr. hrrr ali~ prttinrut fycts, such a~ ~~Ir of propcrty or hu~inr~s. or rrliny~ishmcot of empiuymcnt at formrt dumicilr, tr~nu~al ~,f f~~n~ly u. nc~. domiril.. pureh:+sr ~.f hume. rlc.) i E'?'rLi~T'rIG C}~TLDRT:'. IP~ SCilt~~i.: ~ NOI~'~CST1:4J EXETfPTIU`:: 1 If entering c11i_l::ren in school, _ plezse ] ist their nar~~es: 299652 _ G~t/ ~c ~T~ C~E COIiENT~ rLA. ~~ER /O~TAIf ~ Rf_ ORD vE R j~p ~0~~ ~r~ t ~r 10 1 az PM '1 ~ ~ ~ ~ , # ~ L ~ ~ ~ ` 7 ~ ! ~ ' 4 ~ 1 E~11R1:IIF=R ('l:lt"TiF~' th::t !~~-ill rr~istrr at my l~~al ad~lr~~s ~vhrn thc rr~,istration bvoks rco}~cn, and ~ ~ ~c~n:{,1~~ ~vith aU oth~r r«~!iinmcnts c,i',i Ic; al rc~,:~l~~~t Uf th~s St~~tc. ! ~ i r-urrri~cK cl~RTl{=Y tiiat I ha~•c no intr?~tion to return t~~ m~' forn~rr c:omirile, anel 1 int~nd to remain in ~ ~ I~~, ~ ST. LLCIE F •..~~.~t--- -~J,.r`~~ - - - - - - - • - - - ('ounty, .~~~~Ja,~~Cki ~ic~ttly. ~c~?.~) ~ ~'v,;~j _ y/~ ~f ~ ~ ~7~ si. _3~Q2~1~?~ ~'7',..~ - - . slc~.~,-~~'` ¢ - ~ ~ ~ - - - --S7Gi~E~'~'il~'tL - ~ ~ ~ - , „ ~ • ~ ~ ~~ntot~;~o ' nJ st~h,rrihc•~I hrfc~i.• +~~t• t}~i. - - clay c~f ~ !~z.~w-~ ~y . A.I). 1~i_~_'`r~ ~J f 4~'%~~~Y-- Y ~ jk11 i::~~ i c I'e S~ ~ , ~ i:cic~:T: i~or~~~;n ~`c~.r~~~: ~1 ~;ct?~~r covr~•.r ~ ~ ~ ~ , F 1 o r i_da ~ ~ ~~e~ s.~~~-~ l~~ p~ ~t:L)• C I e~l: ~ ( Io hr c~cculcd In Ju;•li~ :~li• aed ~~n±vi~.~l hl~•d a•:Ih ('Irr1, l'in iuI ('ua~t. and ~lu~.ti- : Ir ~~ilh 7:+• As+rt.t~r) ~ OR ~ ~ eooK ~5 Pac~ 1~ : ~ x _ _ ~ _ _ .