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H~~~~~r~?~~~r~~ a~o ~a~~~~~8~ ~a~~1 C~~a~c;~~~i~ . ~ • ~ . ~ . ~ ~ ~ . 314.318 . . . T0 7'11~ CL~RK 0~' TIIE C1RCUiT COUItT. ~ _ ST. ~ UG I E- - - covrrr~r. ~.onian: . - . 9'h~s fs my d~clerAtion oI flomicilo ~ed Citizcnship in tho Sl~to ot }'lorida ihst I~m Iiliag tAls d~y in ~ccord~nco. ~nd in , contormity with Srction 7~.~7~ Fiorida Stalutcs. ~ ' + • . 1 wu to~mcrl a lcgA1 tcaidcnt o! f Q i ~ ~ 0 uJ o-- and I . a\ { 1 lst~tel residcd oll l7 ~~0 t t~:0 0,~ ~Y ~ 11 e N.~ . - l~owovcc. I h~vc chsngcd my domicilc to . l8tre~t w+d Nu~eer) ~nd ~m and l~av~ Ix~n a bon~? lidc sc~idcnt o[ the St~to of Florida sineo ~ day ot ~ . . • , l9 ~ 5 and I resido at ,s~ a n~ 4`~re e-~ . ~ • ST ~ Ll1G 1 Ese~e a~aN~mbed ~,r't"- ~'i e r t~ , . co~o~y. Floriaa, t~x~l ~nd this statement is to bc take~ ~?s n~y declaration oi citizenship. aetual legal residence :nd domicile in the Stute ot Floride. If FOR YIIE PURPOSE OP ENROI.IING . I~ FOR HONESTERQ PURPOSES~ CHIIOREN iN SCNOOI~ PLEASE STAYE Pt,E/lSE ClfECK: ~ ~ YHEIR NAMES: . ~om~5 ~ nrT,~~, ~ ~ 3~~~a.8 ' , - - s~ i cic cou~~`~i~ ~ a~cE . ~~~z s ~ - . e~EaK ~:~;,u~r cou~ ' RFf;~ii Ycn•fIEO ~ { . p~ ~ i i 39 AM'15 ~ j~ , ~ . ~ . - . . , ~ . M1 . _ ~!4, ~s f''~ ~ I FU1LTlIT:R CF•RTIFY that I wil) rcgi~lcr al my lacal address v?1~cn thc rcgistration bool;s rcopcn. and corrply ~vith all othcr rcquiremenls o[ a Ic~al residcnl of tt~is Statc. t~ . Z ] FUItT1IC' C~RT1I~ 1' thal I havc no inttnlian to rcturu to my f~rmcr domicitc. and I intend to remain in •~.~~c~. , Sr . L uc i E . c,~u~~~y . t~crt . ~ ~ Flc,rida. pcrmanenti~ . ~ • i: 1 . _ . : i, ; i~ ' i.tY~ . . ~t~t ; . • ~ ' ` .~,r S • ~ ~ JC..y~';. . t; . : - ~ _ ' . ~ • ` : ? ~~i-~,,,`~ ~J~~ ~ , ~ _ ~ ~ . ~~c,~ t» a~ . ~ . ' ~a ~ -\v 4 y ~ Sy-~ e'~- ~ ~ IAdJrea ) j. f>tivurn lo nuJ subs~ril~cd h~•tu~ e u~o Lliiy dny ot ~~.,~1 ~ t~,~~ ~ ~ . . - L~- A.1). l~J_7 ~ ~ ~ j I r;~~,rR _r~ t-rrzns, c~ _Fi7ic oF r, i r;c u~~ couzT ' :~7. LU~ ' COUh1TY, f I.OR 1.f)A ~ ; fl Y ; _ ~c.~, (s~ 4`L G~--~ ~ ~ ` ~~'~.Sf, t~ U T Y~Cii 1c ~ - i ~ BDOX~42 ~f1593~ ~ ~ . . ~ , ' • ~~s~~ t.~~.~~ tii , : ? r.'u'SR 1R: Z' ~ ;~'t ~ ~ Y.. Y%.~ "s~ ~ .-y. , - - - - • - - ~ - . . . . "~J'r~~'~'- _ _ . . . _ _ _ . _ . , . "°"°".i^'--"- - - - _ 4- . - r~ ~~^r~ a 3~;~~~~ ~ ~~°+.s, . . _