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TO TI IE CL~ItK Ob' T1IE C1ItCUtT COURT. . ~
ST. LUC 1 E covrrrx. ~.on~nn: . . .
This b mr daclen?tion ot l~omicito and Citizcn~hip ih tho Stuto ot b'lorida tfist t~m Cling this d~y in ~ccordanco. and in ,
eonlormily with Scction 2'.2.~7~ Flotid~ Siatutcs. ; '
: `~i.c ~ s~o.c~~ v .y /u~/° _ ~ ~J~.P.r.F ~ ~ ~
1 w~e tormorl ~ k~l ccsidct?t ot 3~
IChy) IStatel
residrd ~t ti? c'~P,.rsi ~O~- l~owovcr, t h~ve chsngcd my domicilo to
. tStreet ~nd Nn~~u1 •
~ nd am s~nd heve brca a bona lidc rosidcnl oi thc Sta?to of Florida sineo ~'S~ a~?y o~ ~
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~9 ~J _ ~nd 1 resido at ~ N
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(Strwt a~d NumDerl
~e~ %~i ~ v~~~. ' ST . L UG 1 E County. Floride,
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~nd this statement is to be taken u a~y deciu~ation oi eitizenship. aciual lesal residenee and domicile in the Stnt~ ot Florid~. ~
~f FOR 7NE PURPOS~ OP ENROL~ING . IP POR HOHESTEA~ PURPOS~S~
C~i1LaREN Ik SCHOOI~ P~EA~E ~T/17E PI.EASE CHEtKt ~
YlfE IR NAMES2 ~
~ L~. F~ • • ~
F~iFa ~NC: ~~c~R~Ep
~ic as-.~c ~~'E~:~/ ST.lIiCiE COUNTr t~?.
CIER'K C~~CUIT COURI t
REGQRE~YEFt~iED . ~
~ - ~ Auc i I 2 os PH'~5
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1 FURTIII:R CF.RTIFY that l will rcgi.~lcr at my local address wl~cn thc rcgistration books reopen. and comply with ~il t~
othcr requirements of a le~;al residcnt ot t!~is Slatc.
I FUItTII~ CCR~ Fl' l at I have no int~ntion ta return to my larmcr domicitc. and I intcnd to rcmain in
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)'lorida. pcrmanenti;. . ' t:
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