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~~~~~r :ua~~ a~o l~~r~~~~8~ a~~ C~~n~~:~~~o~ . ~ ~ ~ ~ ~ . ~ . ~ . . 31~420 ~ ~ TO Tllw CLERK 01~' T11E CIRCUiT COURT. P ST,,,~ LUC I E--- COUN't'Y. FLORIQA: , ~ , ~y,{~ ~y n~y dcciarntion ot nomicilo ~nd Cilizcn~hip in tho St~to ot Ftorida that 1~m iiling this d~y in aecorde?nco. and in , rontormity with Srction 2~.17. Florlda Ststutca. ' ~ - _ I w~s tarmcrl s lc~~! residc~t ot / . ~ - • l1 ' - ! ~ ~ : ~'.L and I • . (Cltp) tatel resided ~t ~~S ~ ~'s.~t`~ jl - l~owovcr. I havo changcd my domicilo to . l~rt+t ~nd Nura~) • and sm ~?~d hnvc bccn a bona lidc residcnt ot the Slate ot Florida since ~ day ot . , . a ~9- - - ~nd I resido at y:~.~~~t.:~~`~/ ~ ~ ~ _ - 1Strwt ~nd Nutaberl ' ST LUGIE ;1 L a'` .~*st~ ~ ~ ~ c ~ , ~ • Couaty. Florida. ((ail7) ~ ~nd this statemenl 'u to be taken ns my dectAration o[ cittzcnship. aclual Iega! r~sidence and domicile in tha State ot Florida. ' . . . ~ IF FOR TNE PURPOSf OP ENROLLING . I~' POR HONESTEAO PURPOSES~ C1~ i LDREN 1 N SCHO01.~ PLEASE STAYE Pl.E/l5E CHECKS ~ ~ tNEfR NANES: ~ • • : ~ ~ ~ - ~ - - ~ ~ , ~ ~+~0 rf~ ~ ~ . ~ > ~ . - ~ ~#~wr.~ c ca~~ ~u?- , ' - aoy~~ vo~T~u?s . 3 ClE4K L~~ZGU~T ~4~t - ~ , RFCOc,^ vE"FIEO.,.~.....~+ f • " . ~ ~ z . . L . . . • , . L ~ . ~ ~ ~ ~ I FUitT}IER CF.RTIFY tha~ I wi11 rcgi~lcr al my lucal addres~ wl~en thc tcgistrr.lion boaL:s rcopen. and comply with all alhcr requiremcnls of a IcLal tesidcnl ot t!~is State. , I FUI2TIlE:i CERTIT'Y that I I~avc no intrntion to rclun~ to my farmcr domicilc. and 1 intcnd to rcmain in ;r ~ . . Cauniy. _ ~,,,~3~..- 1~ $7. LUC 1 E . (Cityl . a ~ }'?orida, pcrmancnti~. ~ . . ~ ~ • . ~ , . ' t. - ~'':;S ~ . ' ~ . - ' . ~ . _ - . , . , ~ . . ' ~ ? ; :i`,__ ~ - ; 4 . . _ ' ~ ~ ~ ~C ! !L-~~~ ~ . • ~ - ' ( t 1/?dJrc~~) ! • ; ~;~~~orn Io nnJ subs~ril,rd I,riu~ o mo thiy ~ . clny ot 2 7'i' .~cc ` ~~~J,,. , ~ n.i~. 7,`~ ~3~! r L r i i ~ R~(',t;R _f'nl T_2A Gt _f_.RK_nf C 1(:~Uf T COUtT . _ " ~ :jt. LU L COUt•lTY, f l.OR 1.t)l1 ~ Cl . 4-~-~.~.~ (fl ~~-G~G+~ . ~ ~ ...._._'1.~r. u~ ir'~`c ~e ic ~ . ; ~ . . 800K~4~ PACE173z ~~t~~..~•~?~~ :r' FEr,' k..~La. e*~ ' _ "~w~~~T~.~.~..-^='-'~*~t"4J~'I,/;~I`~~~~ "~~sFCS~~• ~f~ - t ~Kr'^1i $'r4'6~..+"~.~i's~~^~'" i~....: . .~.-7:~{.!. . . . ~I~l~~w~ . x~" ~qv.~ W+ - . _ _ a I - ' ~~i ~ ~'iy~,,, ~ ~ _ _ . ~a~:..T . ~J.. _ >